Nicole Moreno, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1155995 Issued in TX

Practice address

5430 Sjolander Rd
Baytown, TX 77521-9398

Phone

(281) 736-9144

NPI assigned

Mar 25, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mont Belvieu Providers, PLLCGroup PAC ID 9537521976, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GCHADD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mont Belvieu Providers, PLLC

  • Family Medicine Physician
  • Mont Belvieu, TX
  • NPI 1972296077
  Medicare reassignment Care Compare group NPD
• Champion Anesthesia Consultants, PLLC

  • Anesthesiology Physician
  • Southlake, TX
  • NPI 1649676024
  Medicare reassignment NPD
• Doctors Express of the Beaumont Area PA

  • Urgent Care Clinic/Center
  • Beaumont, TX
  • NPI 1841525235
  Medicare reassignment NPD
• Southlake Doctors Express, PA PSC

  • Urgent Care Clinic/Center
  • Southlake, TX
  • NPI 1942519335
  NPD
• Doctors Express of the Temple Area, PA

  • Urgent Care Clinic/Center
  • Temple, TX
  • NPI 1568696227
  NPD (past)
• Vip Health Services LLC

  • Urgent Care Clinic/Center
  • Mont Belvieu, TX
  • NPI 1598182420
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1902656713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 SJOLANDER RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775219398",
            "telephone_number": "281-736-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 SJOLANDER RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775219398",
            "telephone_number": "281-736-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "NICOLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1155995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique A Moore, FNP-C
• Tangela Moore
• Terry Wayne Moore, D.C.
• Annette Morales-Tymczak, LPC
• Joel Nieves Morcilla, FNP-C
• Vanessa Jeanette Moreno, OTR/L
• D'Shuanna Morgan-Grice, FNP-C
• Mary Helen Morosko, LMFT,CHT,CART
• Nathena Morris-Avery, REGISTERED NURSE
• Crystal Morris, NP

• Family Nurse Practitioner in Baytown, TX
• Providers in Baytown, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.