STACIA LARK MORENO NP
NPI 1629774567
Nurse Practitioner - Family in Baltimore, MD

Active since February 02, 2023PECOS EnrolledAccepts Medicare Assignment
1501 DIVISION ST, BALTIMORE, MD 21217(410) 383-8300 Get Directions Write a Review

NPPES record last updated: March 8, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 8, 2023, Feb 2, 2023 (2 updates tracked since 2023).

About Stacia Lark Moreno Np NPPES

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

STACIA LARK MORENO NP (NPI 1629774567) is an individual family provider in Baltimore, Maryland, licensed in Maryland (R225927) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1629774567
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACIA LARK MORENOCredential: NP
Location Address1501 DIVISION STBaltimore, MD 21217-3121
Mailing Address7789 Arundel Mills Blvd Apt 311Hanover, MD 21076-2020 · (443) 600-4886
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 2, 2023
Last NPPES UpdateMarch 8, 20232 updates tracked since enumeration
NPPES CertifiedMarch 8, 2023
NPI 1629774567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MD · R225927
1501 DIVISION ST, Baltimore, MD 21217

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

Stacia Lark Moreno Np 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 ID2860866456
PECOS Enrollment IDI20230322001519
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
26 services24 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21217 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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 20

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

Family Medicine (Adolescent Medicine)
1501 DIVISION ST
BALTIMORE, MD 21217
Nurse Practitioner (Family)
1501 DIVISION ST
BALTIMORE, MD 21217
Pharmacy Technician
1501 DIVISION ST
BALTIMORE, MD 21217
Pharmacist
1501 DIVISION ST
BALTIMORE, MD 21217
Counselor (Addiction (Substance Use Disorder))
1501 DIVISION ST
BALTIMORE, MD 21217
Dentist (General Practice)
1501 DIVISION ST
BALTIMORE, MD 21217
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1501 DIVISION ST
BALTIMORE, MD 21217
Dietitian, Registered
1501 DIVISION ST
BALTIMORE, MD 21217

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 Stacia Moreno's NPI number?

The NPI number for Stacia Moreno is 1629774567. It was assigned to this individual provider in the NPPES registry on February 2, 2023.

Where is Stacia Moreno located?

Stacia Moreno practices at 1501 Division St, Baltimore, MD 21217. The listed phone number is (410) 383-8300.

What is Stacia Moreno's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Stacia Moreno enrolled in Medicare?

Yes. Stacia 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 Stacia Moreno was last updated on March 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.