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

Shela Renee Moreno

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1144000332

Shela Renee Moreno is a Nurse Practitioner in Longview, Washington. Qualified in 2022, 4 years ago. Practices with Providence Health and Services Washington, a 480-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon and Washington.

Years since qualifying
4
Licensed in
OR, WA
In the registry since
2023
Specialties on file
4
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Practice location Address checks out

1116 14th Ave
Longview, WA 98632-3017
Phone: (360) 261-6930
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP61548893 (WA)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence RN61050614 (WA)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 201041551RN (OR)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 10024830 (OR)

Record details

NPI number1144000332
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 4, 2023
Last updated in NPPESJune 5, 2024
Certification dateJune 5, 2024
Mailing address1116 14th Ave, Longview, WA 98632-3017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Providence Health And Services Washington — 480 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Longview