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MRS. LORI ANN MENDOZA MORENO APN
NPI 1811267594
Nurse Practitioner - Psychiatric/Mental Health in Northbrook, IL

Active since January 11, 2012Opted out of Medicare · through Jan 1, 2027
60 REVERE DR, SUITE 100, NORTHBROOK, IL 60062(224) 306-1879 Get Directions Write a Review

NPPES record last updated: December 5, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Lori Ann Mendoza Moreno Apn NPPES

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

MRS. LORI ANN MENDOZA MORENO APN (NPI 1811267594) is an individual psychiatric/mental health provider in Northbrook, Illinois, licensed in Illinois (209009279) and active in the NPI registry since January 2012. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1811267594
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. LORI ANN MENDOZA MORENOCredential: APN
Location Address60 REVERE DR, SUITE 100Northbrook, IL 60062-1563
Mailing Address60 Revere Dr, Suite 100Northbrook, IL 60062-1563 · (224) 306-1879
Phone(224) 306-1879
Sole ProprietorYes
Enumeration DateJanuary 11, 2012
Last NPPES UpdateDecember 5, 2014
✔ NPI 1811267594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 209009279
60 REVERE DR, Northbrook, IL 60062
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Lori Ann Mendoza Moreno Apn has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2015 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2015
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60062 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

DR CLAUDIA PATRICIA WELKE LLC
Psychiatry & Neurology (Psychiatry)
60 REVERE DR, SUITE 100
NORTHBROOK, IL 60062
Cook County (224) 306-1879
JERI MORRIS, PH.D., P.C.
Psychologist
60 REVERE DR, SUITE 330
NORTHBROOK, IL 60062
Cook County (847) 432-9055
LINDSAY BUVEL LPC
Counselor (Professional)
60 REVERE DR, SUITE 100
NORTHBROOK, IL 60062
Cook County (561) 703-8481
HARLOW KEDZIE LCSW
Counselor
60 REVERE DR
NORTHBROOK, IL 60062
Cook County (224) 221-2354
GABRIELLE GOLENBERG
Psychologist (Clinical)
60 REVERE DR, SUITE 100
NORTHBROOK, IL 60062
Cook County (224) 365-8232
CHRISTOPHER LOWDEN MD LLC
Psychiatry & Neurology (Psychiatry)
60 REVERE DR
NORTHBROOK, IL 60062
Cook County (224) 306-1879
DR. JOANNA ELIZABETH LINDELL D.O.
Psychiatry & Neurology (Psychiatry)
60 REVERE DR, SUITE 100
NORTHBROOK, IL 60062
Cook County (224) 306-1879
COMPASS HEALTH CENTER LLC
Clinic/Center
60 REVERE DR, SUITE 100
NORTHBROOK, IL 60062
Cook County (224) 306-1879

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 Lori Ann Moreno's NPI number?

The NPI number for Lori Ann Moreno is 1811267594. It was assigned to this individual provider in the NPPES registry on January 11, 2012.

Where is Lori Ann Moreno located?

Lori Ann Moreno practices at 60 Revere Dr Suite 100, Northbrook, IL 60062. The listed phone number is (224) 306-1879.

What is Lori Ann Moreno's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lori Ann Moreno enrolled in Medicare?

No. Lori Ann Moreno has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Lori Ann Moreno was last updated on December 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.