STEPHANIE MAKUMI MORENO (AGNP-C) – Gerontology Nurse Practitioner, NPI 1871299263
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for STEPHANIE MAKUMI MORENO (AGNP-C)
12201 Renfert Way Ste 120
Austin, TX 787585367
Phone: (512) 832-9088
Type: Location
8240 N MOPAC EXPY STE 100
AUSTIN, TX 787598869
Phone: (512) 610-5339
Fax: (512) 407-9010
Type: Mailing
1900 SCENIC DR STE 1114
GEORGETOWN, TX 786267724
Phone: (512) 248-2200
Fax: (512) 248-1950
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 47 Open Payments records for all available years, with a total value of $912.
Total Amount is formed as General ($912) + Research ($0) + Ownership ($0) = $912.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($189).
Total Amount
$912
General + Research + Ownership
Payments
47
Total payment records
General Amount
$912
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sumitomo Pharma America, Inc. | $189 |
| ABBVIE INC. | $146 |
| UROGEN PHARMA, INC. | $93 |
| Minerva Surgical, Inc | $88 |
| PROCEPT BioRobotics Corporation | $78 |
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: 2023-09-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230922000382 | I | Nurse Practitioner | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 51798 | Ultrasound measurement of bladder capacity after voiding | 85 | 75 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 67 | 60 | $0 |
| 81003 | Automated urinalysis test | 66 | 61 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 48 | 44 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 23 | 23 | $0 |
Insurance plans in this area (ZIP 78758)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Physician Assistant | TX | |
| U R O L O G Y | TX | |
| U R O L O G Y | IL | |
| - | TX | |
| U R O L O G Y | TX | |
| U R O L O G Y | TX | |
| - | TX | |
| U R O L O G Y | TX | |
| Nurse Practitioner | TX |
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