KIERSTEN M MORENO (M.D.) – Obstetrics & Gynecology Physician, NPI 1114281730

KIERSTEN M MORENO (M.D.) is a healthcare provider. based in Independence, Missouri. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 2016019195 (MO). The NPI Number for KIERSTEN M MORENO (M.D.) is 1114281730

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
KIERSTEN M MORENO (M.D.)
NPI
1114281730
Phone
(816) 478-0220
Address
19500 E 39TH STREET
Enumeration Date
28 June 2012
Last Update Date
26 July 2019

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
8164780220
Graduation Year
2012 (14 years ago)
PAC ID
0345546057
Group Practice PAC ID
2062958119
Professional Enrollment ID
I20160804000755
Address ID
MO640572306IN19550SXXX500

Contacts

Secure Messaging
Kiersten.Moreno@digichart.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

928 OBSTETRICS/GYNECOLOGY in MO

Provider Addresses for KIERSTEN M MORENO (M.D.)

  • 19500 E 39TH STREET

    SUITE 300

    INDEPENDENCE, MO 640578324

    Phone: (816) 478-0220

    Fax: (816) 795-3456

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $312.

Total Amount is formed as General ($312) + Research ($0) + Ownership ($0) = $312.

Last reported payment date: 2024-10-21 • Largest payer in this snapshot: Davol Inc. ($149).

Total Amount

$312

General + Research + Ownership

Payments

10

Total payment records

General Amount

$312

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-08-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160804000755IObstetrics/GynecologyMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination1818$0
View full utilization report →

Insurance plans in this area (ZIP 64057)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062958119View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMO
O B S T E T R I C S/ G Y N E C O L O G YSC
O B S T E T R I C S/ G Y N E C O L O G YMO
O B S T E T R I C S/ G Y N E C O L O G YMO
O B S T E T R I C S/ G Y N E C O L O G YMO
Certified Nurse Midwife (Cnm)MO

Reviews

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Frequently asked questions

What federal number belongs to KIERSTEN M MORENO (M.D.)?
The federal identifier for KIERSTEN M MORENO (M.D.) is NPI 1114281730.
Is KIERSTEN M MORENO (M.D.) active in the national directory?
KIERSTEN M MORENO (M.D.)'s public NPI profile is in an active state.
Does KIERSTEN M MORENO (M.D.) list a primary specialty?
If you are matching referrals, note Obstetrics & Gynecology Physician for KIERSTEN M MORENO (M.D.). Clinical services aligned with this taxonomy classification.
Where is KIERSTEN M MORENO (M.D.)'s primary listing?
We display Independence, Missouri because that is what the record indicates for KIERSTEN M MORENO (M.D.).
How can I contact KIERSTEN M MORENO (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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