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

Stacia Lark Moreno, NP

Individual provider Family Nurse Practitioner · NPI 1629774567

Stacia Lark Moreno, NP is a Nurse Practitioner in Baltimore, Maryland. Qualified in 2022, 4 years ago. Practices with Total Health Care Inc, a 57-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
4
Licensed in
MD
In the registry since
2023
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1501 Division St
Baltimore, MD 21217-3121
Phone: (410) 383-8300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R225927 (MD)

Record details

NPI number1629774567
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 2, 2023
Last updated in NPPESMarch 8, 2023
Certification dateMarch 8, 2023

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 Total Health Care Inc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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