Active NPI
Wade Kyle Moore
- Certified Registered Nurse Anesthetist
- Hutchinson, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 43-558280-122
- Practice address
- 1701 E 23Rd Ave
Hutchinson, KS 67502-9907 - Phone
- (620) 524-0799
- NPI assigned
- Apr 18, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Certified Registered Nurse Anesthetist | 367500000X | 43-558280-122 | KS | Primary |
Addresses
Primary practice location
1701 E 23Rd Ave
Hutchinson, KS 67502-9907
Mailing address
5 Monarch LN
Hutchinson, KS 67502-9115
Phone (620) 245-4715
Other practice location 1
2101 N Waldron St Bldg 2205
Hutchinson, KS 67502-1197
Phone (620) 728-2700
Other practice location 2
1818 E 23rd Ave
Hutchinson, KS 67502-1106
Phone (620) 663-4800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250616003319 | KS | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1759892870 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hutchinson Regional Medical Center IncSummit Surgical Anesthesia LLC
Practice addresses (Care Compare)
1701 E 23Rd Ave
Hutchinson, KS 67502-1105
1818 E 23Rd Ave
Hutchinson, KS 67502-1106
Phone (620) 662-6000
Hospital & facility affiliations
- Hutchinson Regional Medical Center Inc
- Summit Surgical, LLC
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43-558280-122 | KS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Surgical Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hutchinson Regional Medical Center, Inc. | Current | Accepting new patients | |
| Hutchinson Regional Medical Center, Inc. | Current | Accepting new patients | |
| Hutchinson Regional Medical Center, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hutchinson Ambulatory Surgery Center, LLC | Past | Accepting new patients |
Locations
1701 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 665-2117
2101 N Waldron St
Bldg 2205
Hutchinson, KS 67502
Phone (620) 727-0718
1818 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 662-6000
Organizations & group practices 9
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.
-
- Certified Registered Nurse Anesthetist
- Hutchinson, KS
- NPI 1912685397
KS, Nurse Anesthetist, Certified Registered
-
- Rural Health Clinic/Center
- Hutchinson, KS
- NPI 1073499885
-
- Psychiatric Hospital Unit
- Hutchinson, KS
- NPI 1033141148
-
- Rehabilitation Hospital Unit
- Hutchinson, KS
- NPI 1396776787
-
- General Acute Care Hospital
- Hutchinson, KS
- NPI 1922039320
-
- Certified Registered Nurse Anesthetist
- Hutchinson, KS
- NPI 1487131025
Nurse Anesthetist, Certified Registered
-
- Pulmonary Disease Physician
- Hutchinson, KS
- NPI 1659931525
-
- Ambulatory Surgical Clinic/Center
- Hutchinson, KS
- NPI 1295713568
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hutchinson, KS
- NPI 1922039320
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748390400000",
"number": "1053107672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 MONARCH LN",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675029115",
"telephone_number": "620-245-4715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 E 23RD AVE",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675029907",
"telephone_number": "620-524-0799"
}
],
"practiceLocations": [
{
"address_1": "2101 N Waldron St Bldg 2205",
"address_purpose": "LOCATION",
"city": "Hutchinson",
"state": "KS",
"postal_code": "675021197",
"country_code": "US",
"telephone_number": "620-728-2700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1818 E 23rd Ave",
"address_purpose": "LOCATION",
"city": "Hutchinson",
"state": "KS",
"postal_code": "675021106",
"country_code": "US",
"telephone_number": "620-663-4800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "WADE",
"middle_name": "KYLE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-04-18",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "43-558280-122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hutchinson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.