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SOFIA LUCINA MORAN PMHNP
NPI 1104672930
Nurse Practitioner - Psychiatric/Mental Health in San Bernardino, CA

Active since April 24, 2024PECOS EnrolledAccepts Medicare Assignment
473 E. CARNEGIE DRIVE, SUITE 200, SAN BERNARDINO, CA 92408(840) 252-7774(840) 223-5913 Get Directions Write a Review

NPPES record last updated: November 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 9, 2024, Aug 23, 2024, Apr 24, 2024 (3 updates tracked since 2024).

About Sofia Lucina Moran Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOFIA LUCINA MORAN PMHNP (NPI 1104672930) is an individual psychiatric/mental health provider in San Bernardino, California, licensed in California (95029887) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104672930
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSOFIA LUCINA MORANCredential: PMHNP
Location Address473 E. CARNEGIE DRIVE, SUITE 200San Bernardino, CA 92408
Mailing Address473 E. Carnegie Drive, Suite 200San Bernardino, CA 92408 · (840) 252-7774 · Fax (840) 223-5913
Phone(840) 252-7774
Fax(840) 223-5913
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateApril 24, 2024
Last NPPES UpdateNovember 9, 20243 updates tracked since enumeration
NPPES CertifiedNovember 9, 2024
✔ NPI 1104672930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95029887
473 E. CARNEGIE DRIVE, San Bernardino, CA 92408
Open in Google Maps ↗

Other Names 1

Former Name (1)Lucina Moran Bartlett

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sofia Lucina Moran Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638611528
PECOS Enrollment IDI20240606002800
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Sofia Moran reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Faculty Physicians And Surgeons Of Llusm
0.5 mi
Pediatrics
250 E CAROLINE ST STE J
San Bernardino, CA 92408
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
NPI 1124077516 (909) 651-1900
Nebula Health, LLC
11 mi
Adult Mental Health
6833 INDIANA AVE STE 101
Riverside, CA 92506
  • Reassigned Medicare billing, California enrollment
  • 40 clinicians in this Medicare group
NPI 1194479501 (951) 289-5424
Mood Clinical, P. C.
41 mi
Family
980 W 17TH ST STE C
Santa Ana, CA 92706
  • Reassigned Medicare billing, California enrollment
  • 182 clinicians in this Medicare group
NPI 1922675644 (619) 639-9730

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92408 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAZMINE IRENE AUSTIN
Behavior Technician
473 E. CARNEGIE DRIVE, 200
SAN BERNARDINO, CA 92408
San Bernardino County (909) 277-6090
MARLENE SEGURA
Behavior Technician
473 E. CARNEGIE DRIVE, 200
SAN BERNARDINO, CA 92408
San Bernardino County (909) 277-6090
NELA NICOLE JONES
Behavior Technician
473 E. CARNEGIE DRIVE, SUITE 200
SAN BERNARDINO, CA 92408
San Bernardino County (760) 237-8070
LOBBAN MARRIAGE AND FAMILY THERAPY INC
Marriage & Family Therapist
473 E. CARNEGIE DRIVE, SUITE 200
SAN BERNARDINO, CA 92408
San Bernardino County (909) 255-6500
ARMANDO JERRY LARA
Behavior Technician
473 E. CARNEGIE DRIVE, 200
SAN BERNARDINO, CA 92408
San Bernardino County (909) 277-6090
CINDY AVALOS
Behavior Analyst
473 E. CARNEGIE DRIVE, SUITE 200
SAN BERNARDINO, CA 92408
San Bernardino County (909) 277-6090
LOVING TOUCH LIVING
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
473 E. CARNEGIE DRIVE, SUITE 200
SAN BERNARDINO, CA 92408
San Bernardino County (951) 213-0276
JESSICA R SMITH
Behavior Technician
473 E. CARNEGIE DRIVE, SUITE 200
SAN BERNARDINO, CA 92408
San Bernardino County (760) 237-8070

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sofia Moran's NPI number?

The NPI number for Sofia Moran is 1104672930. It was assigned to this individual provider in the NPPES registry on April 24, 2024. The provider is also known as Lucina Moran Bartlett.

Where is Sofia Moran located?

Sofia Moran practices at 473 E. Carnegie Drive Suite 200, San Bernardino, CA 92408. The listed phone number is (840) 252-7774.

What is Sofia Moran's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Sofia Moran enrolled in Medicare?

Yes. Sofia Moran is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sofia Moran's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sofia Moran reassigns Medicare benefits to 3 organizations: Faculty Physicians And Surgeons Of Llusm (San Bernardino, CA), Nebula Health, LLC (Riverside, CA) and Mood Clinical, P. C. (Santa Ana, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sofia Moran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sofia Moran was last updated on November 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.