Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cicely Moreno, MD

Individual provider Addiction Medicine (Family Medicine) Physician · NPI 1285171827

Cicely Moreno, MD is a Family Practice in Niles, Michigan. Graduated from Indiana University School of Medicine in 2016, 10 years ago. Practices with Lakeland Medical Practices, a 287-clinician group, works from 6 locations, accepts Medicare assignment and offers telehealth. Licensed in Indiana and Michigan.

Years since qualifying
10
Trained at
Indiana University School of Medicine
Licensed in
IN, MI
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4 Longmeadow Village Dr
Niles, MI 49120-7809
Phone: (269) 684-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 5043 E 81st Ave, Merrillville, IN 46410-5912 — (219) 707-5276
  • 133 W Main St, Benton Harbor, MI 49022-3607 — (269) 408-2258
  • 6418 Deans Hill Rd, Berrien Center, MI 49102-8713 — (269) 815-5500
  • 42 N Saint Joseph Ave Ste 300, Niles, MI 49120-2203 — (269) 687-1126
  • 1234 Napier Ave, Saint Joseph, MI 49085-2112 — (269) 982-4941

Specialties & licences

Addiction Medicine (Family Medicine) Physician (primary) Taxonomy 207QA0401X · Licence 4301509637 (MI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 01083223A (IN)

Record details

NPI number1285171827
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 20, 2017
Last updated in NPPESJanuary 16, 2026
Certification dateJanuary 16, 2026
Mailing address4 Longmeadow Village Dr, Niles, MI 49120-7809

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesADDICTION MEDICINE
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Lakeland Medical Practices — 287 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services