Individual provider Active NPI

Maria Moreno, FNP-C

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1952910333
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1007031 Issued in TX
Practice address
1250 W Mockingbird LN Ste 550
Dallas, TX 75247-4902
Phone
(469) 904-3555
Fax
(214) 819-2405
NPI assigned
Jul 30, 2020
Last updated
Jul 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209035922 IL
Family Nurse Practitioner 363LF0000X 1007031 TX Primary
Family Nurse Practitioner 363LF0000X ARNP.AP.70101709-NP WA

Addresses

Primary practice location

1250 W Mockingbird LN Ste 550
Dallas, TX 75247-4902

Mailing address

1250 W Mockingbird LN Ste 550
Dallas, TX 75247-6959
Phone (469) 904-3555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201029000040 TX Practitioner - Nurse Practitioner 0143630343 Reassigns benefits to 2 organizations
I20260402003627 WA Practitioner - Nurse Practitioner 0143630343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Oceangate
Suite 100
Long Beach, CA 90802-4316

623 McCraken Way
Dallas, TX 75211-1233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1007031TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jan 9, 2023 Accepting new patients
Molina Care Connections, LLC. CurrentSince Mar 24, 2025 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Jan 9, 2023 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Dallas County Mental Health & Mental Retardation Center Past Accepting new patients
Arminda Perez M.D.P.a. PastSince Aug 1, 2020 Accepting new patients
McAllen Medical Clinic PA PastSince Aug 1, 2020 Accepting new patients

Locations

2001 Butterfield Rd
Ste 750
Downers Grove, IL 60515
Phone (630) 381-1757

6201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 633-4700

1660 Westridge Cir N
Irving, TX 75038
Phone (214) 467-9787

5605 N MacArthur Blvd
Ste 400
Irving, TX 75038
Phone (855) 322-4080

2001 Inwood Rd
Ut Southwest Medical Center, TX 75390
Phone (214) 645-8000

5303 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Phone (214) 645-2300

Interoperability endpoints

  • Direct secure messaging: mmoreno18599@direct-prd.molinahealthcare.com

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1952910333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 W MOCKINGBIRD LN STE 550",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752476959",
            "telephone_number": "469-904-3555",
            "fax_number": "214-819-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 W MOCKINGBIRD LN STE 550",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474902",
            "telephone_number": "469-904-3555",
            "fax_number": "214-819-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "MARIA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209035922",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1007031",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "ARNP.AP.70101709-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.