Individual provider Active NPI

Amy T. Moor, CRNA

  • Certified Registered Nurse Anesthetist
  • Boston, MA
National Provider Identifier
1013160415
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN235087 Issued in MA
Practice address
1 Boston Medical Ctr PL
Boston, MA 02118-2908
Phone
(617) 638-6950
Fax
(617) 638-6966
NPI assigned
Oct 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RNA36688 RI
Certified Registered Nurse Anesthetist 367500000X RN235087 MA Primary

Addresses

Primary practice location

1 Boston Medical Ctr PL
Boston, MA 02118-2908

Mailing address

960 Massachusetts Avenue
FL 2
Boston, MA 02118-2690

Other practice location 1

235 North Pearl St
Brockton, MA 02301
Phone (508) 427-3000

Other practice location 2

101 Page St
New Bedford, MA 02740-3464
Phone (508) 973-5425

Other identifiers 2

IdentifierTypeStateIssuer
110123714AMedicaidMA
3121229MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090213000388 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416012083 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boston University Medical Center Anesthesiologists IncGroup PAC ID 5092055236, 89 clinicians
Southcoast Physicians Group IncGroup PAC ID 0749171957, 875 clinicians

Practice addresses (Care Compare)

1 Boston Medical Ctr PL
Boston, MA 02118-2908
Phone (617) 638-6950

101 Page St
New Bedford, MA 02740-3464
Phone (508) 973-5919

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN235087MAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
BMC Affiliated Physicians, Inc. CurrentSince Mar 1, 2026 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince May 10, 2021 Accepting new patients
Boston University Medical Center Anesthesiologists, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2019 Accepting new patients
Fresh Dermatology, P.a. Current Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Oct 7, 2018 Accepting new patients
Boston Medical Center Corporation Current Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is Current Accepting new patients
Anesthesia Professionals, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2020 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince May 10, 2021 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Oct 7, 2018 Accepting new patients
Lakeway Medical Clinic, LLC PastSince Jan 27, 2025 Accepting new patients

Locations

725 Albany St
#7C
Boston, MA 02118
Phone (617) 638-6950

50 Staniford St
Lbby
Boston, MA 02114
Phone (617) 723-2015

960 Massachusetts Ave
Ste 2
Boston, MA 02118

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

95 Mechanic St
Gardner, MA 01440
Phone (978) 632-6674

145 West St
Milford, MA 01757
Phone (508) 381-5600

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734

535 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 961-0665

146 Industrial Park Rd
Plymouth, MA 02360
Phone (508) 833-6000

275 Sandwich St
Plymouth, MA 02360
Phone (508) 746-2000

1 Boston Medical Ctr Pl
Roxbury, MA 02118
Phone (617) 414-5245

720 Harrison Ave
#503
Roxbury, MA 02118
Phone 6174145404 ext. 2

125 Parker Hill Ave
Roxbury Xing, MA 02120
Phone (617) 264-1100

282 Route 130
Sandwich, MA 02563
Phone (508) 427-3720

52 Second Ave
Ste 2500
Waltham, MA 02451
Phone (781) 487-2200

400 10th St E
Waconia, MN 55387

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

1008 Ranch Road 620 S
Ste 101
Lakeway, TX 78734
Phone (512) 615-5600

Interoperability endpoints

  • Direct secure messaging: amoor109184@direct.bmc.masshiway.net

Organizations & group practices 12

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1013160415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVENUE",
            "address_2": "FL 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BOSTON MEDICAL CTR PL",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182908",
            "telephone_number": "617-638-6950",
            "fax_number": "617-638-6966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 North Pearl St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "02301",
            "country_code": "US",
            "telephone_number": "508-427-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Page St",
            "address_purpose": "LOCATION",
            "city": "New Bedford",
            "state": "MA",
            "postal_code": "027403464",
            "country_code": "US",
            "telephone_number": "508-973-5425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOOR",
        "first_name": "AMY",
        "middle_name": "T.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-29",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "RI",
            "license": "RNA36688",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "RN235087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110123714A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3121229",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.

Verify at the official NPI Registry.