Individual provider Active NPI

Brian Lee Moore, CRNA

  • Certified Registered Nurse Anesthetist
  • Wichita, KS
National Provider Identifier
1013961804
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
54974 Issued in KS
Practice address
6615 Briarwood Cir
Wichita, KS 67212-2986
Phone
(316) 729-4474
Fax
(316) 729-4474
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 54974 KS Primary

Addresses

Primary practice location

6615 Briarwood Cir
Wichita, KS 67212-2986

Mailing address

6615 Briarwood Cir
Wichita, KS 67212-2986
Phone (316) 729-4474

Other identifiers 1

IdentifierTypeStateIssuer
144874OtherKSBLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051004001052 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254366610 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Hospital IncGroup PAC ID 9436163474, 11 clinicians
Kansas Spine Anesthesia Corporation PAGroup PAC ID 1153586821, 56 clinicians

Practice addresses (Care Compare)

218 E Pack St
Moundridge, KS 67107-8815
Phone (620) 345-6391

3333 N Webb Rd
Wichita, KS 67226-8123
Phone (316) 462-5000

Hospital & facility affiliations

  • Kansas Spine & Specialty Hospital, LLC Hospital, Wichita, KS, CCN 170196
  • Mercy Hospital, Inc Hospital, Moundridge, KS, CCN 170780

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Spine Anesthesia Corporation PA Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2021 Accepting new patients
Mercy Hospital Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 5, 2024 Accepting new patients
Hospital District No 1 of Rice Co Current Accepting new patients
Kansas Endoscopy LLC CurrentSince Apr 1, 2017 Accepting new patients
Heartland Anesthesia Associates PA Nurse Anesthetist, Certified Registered Past Accepting new patients
St Johns Regional Medical Center Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Consulting Services, PA Past Accepting new patients
St John'S Regional Medical Center Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1124 W 21st St
Andover, KS 67002
Phone (316) 300-4000

1708 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 663-7187

619 S Clark Ave
Lyons, KS 67554
Phone (620) 257-5173

3223 N Webb Rd
Ste 5
Wichita, KS 67226
Phone (316) 462-5000

2818 N Greenwich Rd
Wichita, KS 67226
Phone (316) 685-2207

3333 N Webb Rd
Wichita, KS 67226
Phone (316) 462-5000

4013 N Ridge Rd
Ste 100
Wichita, KS 67205
Phone (316) 722-8015

3121 N Webb Rd
Ste 107
Wichita, KS 67226
Phone (316) 219-2828

7550 W Village Cir
Ste B
Wichita, KS 67205
Phone (316) 838-8388

3121 N Webb Rd
Ste 100
Wichita, KS 67226

3121 N Webb Rd
Ste 101
Wichita, KS 67226
Phone (316) 261-3130

7550 W Village Cir
Ste 2
Wichita, KS 67205
Phone (316) 838-8388

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.

Hospital & facility affiliations 3

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1013961804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 BRIARWOOD CIR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672122986",
            "telephone_number": "316-729-4474",
            "fax_number": "316-729-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 BRIARWOOD CIR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672122986",
            "telephone_number": "316-729-4474",
            "fax_number": "316-729-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BRIAN",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "54974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "144874",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.