DR. KELLY ANN MORENO DO
NPI 1245816990
Psychiatry & Neurology - Psychiatry in Coon Rapids, MN
About Dr. Kelly Ann Moreno Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KELLY ANN MORENO DO (NPI 1245816990) is an individual psychiatry provider in Coon Rapids, Minnesota, licensed in Minnesota (79492) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Worth, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Dr. Kelly Ann Moreno Do 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 55433 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.
COON RAPIDS, MN 55433
COON RAPIDS, MN 55433
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 Kelly Moreno's NPI number?
The NPI number for Kelly Moreno is 1245816990. It was assigned to this individual provider in the NPPES registry on March 23, 2021.
Where is Kelly Moreno located?
Kelly Moreno practices at 9055 Springbrook Dr NW, Coon Rapids, MN 55433. The listed phone number is (763) 780-9155.
What is Kelly Moreno's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Kelly Moreno enrolled in Medicare?
Yes. Kelly Moreno 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.
When was this NPI record last updated?
The NPPES record for Kelly Moreno was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Kelly Ann Moreno, DO · NPI 1245816990
Psychiatry physician in Coon Rapids, Minnesota. Individual provider, active in the CMS NPPES registry since March 23, 2021.
## Identity
- **NPI:** 1245816990 (Entity type: Individual)
- **Enumerated:** March 23, 2021
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 79492 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 9055 SPRINGBROOK DR NW, Coon Rapids, MN 55433-5841
- **Phone:** (763) 780-9155
## 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:** Kansas City University Of Med & Biosciences, College Of Osteo Med, class of 2021
## Record status
- **NPPES last updated:** September 8, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1245816990) · Data from the CMS NPPES public registry.