SHELA RENEE MORENO
NPI 1144000332
Nurse Practitioner - Psychiatric/Mental Health in Longview, WA

Q: What is Shela Moreno's NPI number?

The NPI number for Shela Moreno is 1144000332. It was assigned to this individual provider in the NPPES registry on October 4, 2023.

Q: What is Shela Moreno's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shela Moreno was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since October 04, 2023PECOS EnrolledAccepts Medicare Assignment

1116 14TH AVE, LONGVIEW, WA 98632(360) 261-6930 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2024, Apr 29, 2024, Oct 4, 2023 (3 updates tracked since 2023).

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About Shela Renee Moreno NPPES

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

SHELA RENEE MORENO (NPI 1144000332) is an individual psychiatric/mental health provider in Longview, Washington, licensed in Washington (AP61548893) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, is affiliated with Providence St Peter Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1144000332

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSHELA RENEE MORENO

Location Address1116 14TH AVELongview, WA 98632-3017

Mailing Address1116 14th AveLongview, WA 98632-3017 · (360) 261-6930

Phone(360) 261-6930

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateOctober 4, 2023

Last NPPES UpdateJune 5, 20243 updates tracked since enumeration

NPPES CertifiedJune 5, 2024

✔ NPI 1144000332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in WA · AP61548893✔ Licensed in OR · 10024830

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN61050614 (WA), 201041551RN (OR)

1116 14TH AVE, Longview, WA 98632

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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

Shela Renee Moreno 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 ID4082132642

PECOS Enrollment IDI20250516002645

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence St Peter Hospital

Acute Care Hospitals · Olympia, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500024

Location413 Lilly Road NEOlympia, WA 98506 · Thurston County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98632 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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 12

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

MRS. KATIE KING

Social Worker (Clinical)