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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. JESSICA DAWN MORENO AGACNP
NPI 1265125678
Nurse Practitioner - Gerontology in Bastrop, TX

Active since May 31, 2023
400 OLD AUSTIN HWY, BASTROP, TX 78602(512) 321-2529(512) 233-0593 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2026, Dec 23, 2025, Jun 20, 2023 and 1 more (4 updates tracked since 2023).

About Ms. Jessica Dawn Moreno Agacnp NPPES

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

MS. JESSICA DAWN MORENO AGACNP (NPI 1265125678) is an individual gerontology provider in Bastrop, Texas, licensed in Texas (1095985) and active in the NPI registry since May 2023. She maintains 5 additional practice locations.

NPPES Registry Identity

NPI1265125678
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMS. JESSICA DAWN MORENOCredential: AGACNP
Location Address400 OLD AUSTIN HWYBastrop, TX 78602-5168
Mailing Address1908 N Laurent St Ste 250Victoria, TX 77901-5417 · (361) 576-0694 · Fax (512) 233-0593
Phone(512) 321-2529
Fax(512) 233-0593
Sole ProprietorNo
Enumeration DateMay 31, 2023
Last NPPES UpdateJuly 2, 20264 updates tracked since enumeration
NPPES CertifiedJuly 2, 2026
✔ NPI 1265125678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in TX · 1095985
400 OLD AUSTIN HWY, Bastrop, TX 78602
Open in Google Maps ↗

Other Names 1

Former Name (1)Jessica Dawn Grisel

Secondary Practice Locations 5

Location 1503 Old Austin HwyBastrop, TX 78602-5091 · Phone (512) 321-6220 · Fax (512) 233-0593
Location 26001 Kyle PkwyKyle, TX 78640-6112 · Phone (512) 504-0877 · Fax (512) 504-0864
Location 3120 State Loop 92LA Grange, TX 78945-6035 · Phone (979) 968-3145 · Fax (512) 233-0593
Location 4430 Old Austin HwyBastrop, TX 78602-5168 · Phone (512) 321-3527 · Fax (512) 233-0593
Location 51180 Seton Pkwy Ste 220Kyle, TX 78640-6179 · Phone (512) 504-0877

Other Providers at the Same Location NPPES 5

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

OAKBEND MEDICAL CENTER
Skilled Nursing Facility
400 OLD AUSTIN HWY
BASTROP, TX 78602
Bastrop County (512) 321-2529
MS. LAURA ANN WITT
Physical Therapy Assistant
400 OLD AUSTIN HWY
BASTROP, TX 78602
Bastrop County (512) 321-2529
ALLEN KARY MCCASKEY
Occupational Therapy Assistant
400 OLD AUSTIN HWY
BASTROP, TX 78602
Bastrop County (512) 303-0655
DEBORAH LEE WILLIAMS
Occupational Therapy Assistant
400 OLD AUSTIN HWY
BASTROP, TX 78602
Bastrop County (512) 321-2529
DONNA G BARON MS CCC-SLP
Speech-Language Pathologist
400 OLD AUSTIN HWY
BASTROP, TX 78602
Bastrop County (512) 321-2529

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 Jessica Moreno's NPI number?

The NPI number for Jessica Moreno is 1265125678. It was assigned to this individual provider in the NPPES registry on May 31, 2023. The provider is also known as Jessica Dawn Grisel.

Where is Jessica Moreno located?

Jessica Moreno practices at 400 Old Austin Hwy, Bastrop, TX 78602. The listed phone number is (512) 321-2529.

What is Jessica Moreno's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Jessica Moreno was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.