LAURIE MORENO (RN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1639673262

LAURIE MORENO (RN) is a healthcare provider. based in Akron, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials RN. They hold a License No. RN.397995 (OH). The NPI Number for LAURIE MORENO (RN) is 1639673262

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
LAURIE MORENO (RN)
NPI
1639673262
Phone
Not provided
Address
340 S BROADWAY ST
Enumeration Date
20 March 2018
Last Update Date
5 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2024 (2 years ago)
PAC ID
6608301817
Group Practice PAC ID
2961303532
Professional Enrollment ID
I20241125004035
Address ID
OH443041619AK525XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

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Provider Addresses for LAURIE MORENO (RN)

  • 340, South Broadway Street, Downtown, Cascade Valley, Akron, Summit County, Ohio, 44308, United States

    AKRON, OH 443081529

    Phone:

    Type: Mailing

  • 10, Penfield Avenue, Cascade Valley, Akron, Summit County, Ohio, 44310, United States

    AKRON, OH 443102912

    Phone: (330) 253-3100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-11-25

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
I20241125004035INurse PractitionerOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44308)

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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: 2961303532View full group profile
NameSpecialtyState
Nurse PractitionerGA
-OH
Critical Care (Intensivists)KY
-OH
Family PracticeOH
Family PracticeOH
Cardiovascular Disease (Cardiology)OH
N E P H R O L O G YOH
Nurse PractitionerOH
General SurgeryIL

Reviews

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Frequently asked questions

What is LAURIE MORENO (RN)'s NPI number?
LAURIE MORENO (RN)'s NPI is 1639673262 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to LAURIE MORENO (RN)?
You should see LAURIE MORENO (RN) as active in CMS-hosted NPPES data.
How would a patient describe LAURIE MORENO (RN)'s focus?
For LAURIE MORENO (RN), the primary taxonomy reads as Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for LAURIE MORENO (RN)?
Travel planning: use Akron, Ohio as the reference point for LAURIE MORENO (RN), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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