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

Stephanie Makumi Moreno, AGNP-C

Individual provider Gerontology Nurse Practitioner · NPI 1871299263

Stephanie Makumi Moreno, AGNP-C is a Nurse Practitioner in Georgetown, Texas. Qualified in 2022, 4 years ago. Practices with Urology Austin PLLC, a 59-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
4
Licensed in
TX
In the registry since
2023

Practice location Address checks out

1900 Scenic Dr Ste 1114
Georgetown, TX 78626-7724
Phone: (512) 248-2200
Fax: (512) 248-1950
Show map & directions

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

Additional practice locations (1)

  • 12201 Renfert Way Ste 120, Austin, TX 78758-5367 — (512) 832-9088

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 1108827 (TX)

Record details

NPI number1871299263
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedFebruary 6, 2023
Last updated in NPPESAugust 16, 2023
Certification dateAugust 16, 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 Urology Austin Pllc — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Georgetown