CICELY MORENO M.D.
NPI 1285171827
Family Medicine - Addiction Medicine in Niles, MI

Active since January 20, 2017PECOS EnrolledAccepts Medicare Assignment
4 LONGMEADOW VILLAGE DR, NILES, MI 49120(269) 684-6000 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 16, 2026, Aug 2, 2024, Apr 7, 2020 and 1 more (4 updates tracked since 2017).

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

NPI1285171827
Entity TypeIndividualFemale
Primary Taxonomy207QA0401X
Provider Legal NameCICELY MORENOCredential: M.D.
Location Address4 LONGMEADOW VILLAGE DRNiles, MI 49120-7809
Mailing Address4 Longmeadow Village DrNiles, MI 49120-7809 · (269) 684-6000
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2016
Enumeration DateJanuary 20, 2017
Last NPPES UpdateJanuary 16, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2026
NPI 1285171827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License Licensed in MI · 4301509637
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 01083223A (IN)
4 LONGMEADOW VILLAGE DR, Niles, MI 49120

Secondary Practice Locations 5

Location 16418 Deans Hill RdBerrien Center, MI 49102-8713 · Phone (269) 815-5500 · Fax (269) 815-5373
Location 242 N Saint Joseph Ave Ste 300Niles, MI 49120-2203 · Phone (269) 687-1126 · Fax (269) 687-1127
Location 3133 W Main StBenton Harbor, MI 49022-3607 · Phone (269) 408-2258
Location 41234 Napier AveSaint Joseph, MI 49085-2112 · Phone (269) 982-4941
Location 55043 E 81st AveMerrillville, IN 46410-5912 · Phone (219) 707-5276

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

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.

PECOS PAC ID941634943
PECOS Enrollment IDI20240506004622
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 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, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Corewell Health Watervliet Hospital

Acute Care Hospitals · Watervliet, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number230078
Location400 Medical Park DrWatervliet, MI 49098 · Berrien County
Emergency services

Physician 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.

New Patient
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 10

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

Family Medicine
4 LONGMEADOW VILLAGE DR
NILES, MI 49120
Family Medicine
4 LONGMEADOW VILLAGE DR
NILES, MI 49120
Family Medicine
4 LONGMEADOW VILLAGE DR
NILES, MI 49120
Family Medicine
4 LONGMEADOW VILLAGE DR
NILES, MI 49120
Family Medicine
4 LONGMEADOW VILLAGE DR
NILES, MI 49120
Clinic/Center
4 LONGMEADOW VILLAGE DR
NILES, MI 49120
Family Medicine
4 LONGMEADOW VILLAGE DR, SUITE 2
NILES, MI 49120
Clinic/Center
4 LONGMEADOW VILLAGE DR
NILES, MI 49120

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.

What insurance does Cicely Moreno accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company 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 with the weekly NPPES data releases published by CMS.