ROBIN MORENO R.N., A.C.A.G.N.P.
NPI 1366844987
Nurse Practitioner - Acute Care in Dallas, TX

Q: What is Robin Moreno's NPI number?

The NPI number for Robin Moreno is 1366844987. It was assigned to this individual provider in the NPPES registry on September 25, 2014. The provider is also known as Mrs. Robin Gannon.

Q: What is Robin Moreno's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Robin Moreno was last updated on May 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 September 25, 2014PECOS EnrolledAccepts Medicare Assignment

221 W COLORADO BLVD STE 525, DALLAS, TX 75208(214) 960-5681 Get Directions Write a Review

NPPES record last updated: May 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 16, 2019, Dec 21, 2016 (2 updates tracked since 2016).

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About Robin Moreno R.n., A.c.a.g.n.p. NPPES

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

ROBIN MORENO R.N., A.C.A.G.N.P. (NPI 1366844987) is an individual acute care provider in Dallas, Texas, licensed in Texas (AP126489) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center Grapevine, and maintains a secondary practice location in Denton.

NPPES Registry Identity

NPI1366844987

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameROBIN MORENOCredential: R.N., A.C.A.G.N.P.

Location Address221 W COLORADO BLVD STE 525Dallas, TX 75208-2312

Mailing AddressPo Box 50268Denton, TX 76206-0268 · (940) 484-1500 · Fax (940) 484-1700

Phone(214) 960-5681

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateSeptember 25, 2014

Last NPPES UpdateMay 16, 20192 updates tracked since enumeration

✔ NPI 1366844987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in TX · AP126489

221 W COLORADO BLVD STE 525, Dallas, TX 75208

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Other Names 1

Former Name (1)Mrs. Robin Gannon

Secondary Practice Location 1

Location 13120 Medpark Dr, Suite 150Denton, TX 76208-6981 · Phone (940) 484-1500 · Fax (940) 484-1700

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Robin Moreno R.n., A.c.a.g.n.p. 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 ID6800119702

PECOS Enrollment IDI20141230000496

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.

Baylor Scott & White Medical Center Grapevine

Acute Care Hospitals · Grapevine, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450563

Location1650 W College StGrapevine, TX 76051 · Tarrant County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75208 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$911.30 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JACQUELINE NICOLE HORST M.D.

Internal Medicine (Pulmonary Disease)