CICELY MORENO M.D.
NPI 1285171827
Family Medicine - Addiction Medicine in Niles, MI
About Cicely Moreno M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CICELY MORENO M.D. (NPI 1285171827) is an individual addiction medicine provider in Niles, Michigan, licensed in Michigan (4301509637) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and maintains 5 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 5
Accepted Insurance
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
Cicely Moreno M.d. 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.
Medicare Billing Reassignments
4Medicare enrollment records show Cicely Moreno reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Niles, MI 49120
- Reassigned Medicare billing, Michigan enrollment
- 724 clinicians in this Medicare group
Berrien Center, MI 49102
- Reassigned Medicare billing, Michigan enrollment
- 34 clinicians in this Medicare group
Schererville, IN 46375
- Reassigned Medicare billing, Indiana enrollment
- 119 clinicians in this Medicare group
Munster, IN 46321
- Reassigned Medicare billing, Indiana enrollment
- 124 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lakeland Hospital, St Joseph
Acute Care Hospitals · St Joseph, MICorewell Health Watervliet Hospital
Acute Care Hospitals · Watervliet, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49120 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 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Cicely Moreno's NPI number?
The NPI number for Cicely Moreno is 1285171827. It was assigned to this individual provider in the NPPES registry on January 20, 2017.
Where is Cicely Moreno located?
Cicely Moreno practices at 4 Longmeadow Village Dr, Niles, MI 49120. The listed phone number is (269) 684-6000.
What is Cicely Moreno's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.
Is Cicely Moreno enrolled in Medicare?
Yes. Cicely 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.
Which organizations bill Medicare for Cicely Moreno's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cicely Moreno reassigns Medicare benefits to 4 organizations: Lakeland Medical Practices (Niles, MI), Sacred Heart Rehabilitation Center, Inc (Berrien Center, MI), Midwest Express Care, Inc (Schererville, IN) and Nwi Urgent Care, LLC (Munster, IN). 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 Cicely Moreno's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Cicely Moreno accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Care Network of Michigan and 2 other insurers list Cicely Moreno 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.
Is Cicely Moreno affiliated with any hospitals?
According to CMS data, Cicely Moreno is affiliated with Lakeland Hospital, St Joseph and Corewell Health Watervliet Hospital.
When was this NPI record last updated?
The NPPES record for Cicely Moreno was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Cicely Moreno, M.D. · NPI 1285171827
Addiction Medicine physician in Niles, Michigan. Individual provider, active in the CMS NPPES registry since January 20, 2017.
## Identity
- **NPI:** 1285171827 (Entity type: Individual)
- **Enumerated:** January 20, 2017
- **Primary specialty:** Family Medicine - Addiction Medicine · taxonomy 207QA0401X
- **State license:** 4301509637 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 4 LONGMEADOW VILLAGE DR, Niles, MI 49120-7809
- **Phone:** (269) 684-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Lakeland Medical Practices (NPI 1134898505, Niles, MI); Sacred Heart Rehabilitation Center, Inc (NPI 1548670391, Berrien Center, MI); Midwest Express Care, Inc (NPI 1942642848, Schererville, IN); Nwi Urgent Care, LLC (NPI 1043596703, Munster, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Indiana University School Of Medicine, class of 2016
## Record status
- **NPPES last updated:** January 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1285171827) · Data from the CMS NPPES public registry.