SOFIA LUCINA MORAN PMHNP
NPI 1104672930
Nurse Practitioner - Psychiatric/Mental Health in San Bernardino, CA
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
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
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.
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.
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.
SAN BERNARDINO, CA 92408
SAN BERNARDINO, CA 92408
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.
What insurance does Sofia Moran accept?
Health plans from Providence Health Plan list Sofia Moran as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 21 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.
# Sofia Lucina Moran, PMHNP · NPI 1104672930
Psychiatric/Mental Health physician in San Bernardino, California. Individual provider, active in the CMS NPPES registry since April 24, 2024.
## Identity
- **NPI:** 1104672930 (Entity type: Individual)
- **Enumerated:** April 24, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95029887 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 473 E. CARNEGIE DRIVE, SUITE 200, San Bernardino, CA 92408
- **Phone:** (840) 252-7774 · **Fax:** (840) 223-5913
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** November 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104672930) · Data from the CMS NPPES public registry.