Active NPI
Melyssa Carroll Mooney, CRNA
- Certified Registered Nurse Anesthetist
- Fredericksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024171487
- Practice address
- 1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453 - Phone
- (540) 741-7614
- NPI assigned
- Nov 16, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0024171487 | VA | Primary |
Addresses
Primary practice location
1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Mailing address
3100 Spring Forest Rd Ste 130
Raleigh, NC 27616-2880
Phone (888) 280-9533
Other practice location 1
1010 Downman Pl
Fredericksburg, VA 22401-4670
Phone (720) 839-8900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, HI
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1215 Lee St
Charlottesville, VA 22908-0816
Phone (434) 924-0000
1301 Punchbowl St
Honolulu, HI 96813-2402
Phone (808) 691-1000
4600 Spotsylvania Pkwy
Fredericksburg, VA 22408-7762
Phone (540) 498-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024171487 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Virginia PC | Current | Accepting new patients | |
| American Anesthesiology of Virginia, PC | Current | Accepting new patients | |
| Pacific Anesthesia, Inc | Current | Accepting new patients | |
| Rector & Visitors of the University of Virginia | Current | Accepting new patients | |
| Professional Anesthesia Group, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Rector and Visitors of the University of Virginia | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Surgical Anesthesia Associates, PLLC | Current | Accepting new patients | |
| Rector & Visitors of the University of Virginia | Current | Accepting new patients |
Locations
321 N Kuakini St
Ste 306
Honolulu, HI 96817
Phone (808) 545-1557
1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011
1302 Rising Ridge Rd
Ste 1
Mount Airy, MD 21771
2955 Ivy Rd
Ste 201
Charlottesvle, VA 22903
Phone (434) 243-4520
1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211
501 Sunset Ln
Culpeper, VA 22701
Phone (540) 829-4100
4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 498-4000
1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100
19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950
1501 Maple Ave
Ste 300
Richmond, VA 23226
Phone (804) 287-7878
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Charlottesville, VA
- NPI 1780630608
-
- Anesthesiology Physician
- Honolulu, HI
- NPI 1538472451
-
- Anesthesiology Physician
- Falls Church, VA
- NPI 1417994872
-
- Anesthesiology Physician
- Fredericksburg, VA
- NPI 1619149648
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Leesburg, VA
- NPI 1053675199
-
- Community/Retail Pharmacy
- Charlottesville, VA
- NPI 1790399202
-
- Nurse Practitioner
- Charlottesville, VA
- NPI 1265560262
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charlottesville, VA
- NPI 1780630608
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1003246752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 SPRING FOREST RD STE 130",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276162880",
"telephone_number": "888-280-9533",
"fax_number": "919-873-9821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 SAM PERRY BLVD",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224014453",
"telephone_number": "540-741-7614"
}
],
"practiceLocations": [
{
"address_1": "1010 Downman Pl",
"address_purpose": "LOCATION",
"city": "Fredericksburg",
"state": "VA",
"postal_code": "224014670",
"country_code": "US",
"telephone_number": "720-839-8900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOONEY",
"first_name": "MELYSSA",
"middle_name": "CARROLL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-16",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024171487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.