Active NPI
Jonathan Kurtis Moore, CRNA
- Certified Registered Nurse Anesthetist
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 199497
- Practice address
- 4315 Diplomacy Dr
Anchorage, AK 99508-5926 - Phone
- (907) 563-2662
- NPI assigned
- Sep 23, 2022
- Last updated
- Oct 11, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 197941 | AK | |
| Registered Nurse | 163W00000X | 439888 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | 199497 | AK | Primary |
Addresses
Primary practice location
4315 Diplomacy Dr
Anchorage, AK 99508-5926
Mailing address
2111 W Sterling Rd
Burbank, OH 44214-9562
Phone (330) 749-9474
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OH, VT
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Copley Hospital Inc
Practice addresses (Care Compare)
1 Wyoming St
Dayton, OH 45409-2722
Phone (614) 561-5233
1001 Bellefontaine Ave
Lima, OH 45804-2800
Phone (419) 998-4575
275 Taylor Station Rd
Columbus, OH 43213-2927
Phone (614) 751-4466
4315 Diplomacy Dr
Anchorage, AK 99508-5926
Phone (907) 563-2662
528 Washington Hwy
Morrisville, VT 05661-8973
Phone (802) 888-8888
730 W Market St
Lima, OH 45801-4602
Phone (419) 277-3361
Hospital & facility affiliations
- Lima Memorial Health System
- Copley Hospital
- Mercy Health St Ritas Medical Center
- Alaska Native Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.93 of 100
- Quality
- 70.1
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 83.01
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 197941 | AK | MD | Registered Nurse |
| 439888 | OH | MD | Registered Nurse |
| 199497 | AK | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Professional Corporation | Current | Accepting new patients | |
| Diagnostic Pathology, LLC | Single Specialty | Current | Accepting new patients |
| Alaska Native Tribal Health Consortium | Single Specialty | Current | Accepting new patients |
| Lima Memorial Professional Corporation | Single Specialty | Current | Accepting new patients |
| Anesthesia Associates of Lima Inc | Single Specialty | Current | Accepting new patients |
| Mercer County Joint Township Community Hospital | Single Specialty | Current | Accepting new patients |
| Arlington Anesthesia Partners LLC | Single Specialty | Current | Accepting new patients |
| Mercer County Joint Township Community Hospital | Current | Accepting new patients | |
| Premier Anesthesia of Ohio LLC | Single Specialty | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Single Specialty | Past | Accepting new patients |
Locations
4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900
4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729
2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804
600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479
800 W Main St
Coldwater, OH 45828
Phone (419) 678-2341
275 Taylor Station Rd
Columbus, OH 43213
Phone (614) 566-9983
793 W State St
Columbus, OH 43222
Phone (614) 234-1862
L3688
Columbus, OH 43260
L3982
Columbus, OH 43260
1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636
1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335
730 W Market St
Lima, OH 45801
Phone (419) 226-4310
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Anchorage, AK
- NPI 1437189339
Single Specialty, TX
-
- Certified Registered Nurse Anesthetist
- Lima, OH
- NPI 1487662300
Single Specialty
-
- Anesthesiology Physician
- Circleville, OH
- NPI 1578209342
Single Specialty
-
- Anesthesiology Physician
- Grove City, OH
- NPI 1699196022
Single Specialty
-
dba Mercer Health
- General Acute Care Hospital
- Coldwater, OH
- NPI 1497784144
Single Specialty
-
- Critical Access Hospital
- Morrisville, VT
- NPI 1568414365
-
- Critical Access Hospital
- Morrisville, VT
- NPI 1922029784
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1093762635
-
- Anatomic Pathology & Clinical Pathology Physician
- Coldwater, OH
- NPI 1366639197
Single Specialty
-
dba Lima Group Family Physicians
- Family Medicine Physician
- Lima, OH
- NPI 1114978244
-
dba mercer health medical equipment
- Durable Medical Equipment & Medical Supplies
- Coldwater, OH
- NPI 1609963198
Hospital & facility affiliations 17
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Anchorage, AK
- NPI 1023290855
-
- General Acute Care Hospital
- Anchorage, AK
- NPI 1093924458
-
- General Acute Care Hospital
- Anchorage, AK
- NPI 1235348343
-
- General Acute Care Hospital
- Anchorage, AK
- NPI 1245439082
-
- General Acute Care Hospital
- Anchorage, AK
- NPI 1376752469
-
- General Acute Care Hospital
- Anchorage, AK
- NPI 1407065899
-
- General Acute Care Hospital
- Anchorage, AK
- NPI 1437189339
-
- General Acute Care Hospital
- Anchorage, AK
- NPI 1437368891
-
- Ambulatory Surgical Clinic/Center
- Anchorage, AK
- NPI 1558570648
Hospital
-
dba ANTHC Internal Medicine Pharmacy
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Anchorage, AK
- NPI 1679931059
Hospital
-
- General Acute Care Hospital
- Anchorage, AK
- NPI 1750590840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665446400000",
"number": "1134842172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2111 W STERLING RD",
"city": "BURBANK",
"state": "OH",
"postal_code": "442149562",
"telephone_number": "330-749-9474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4315 DIPLOMACY DR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085926",
"telephone_number": "907-563-2662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "JONATHAN",
"middle_name": "KURTIS",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-23",
"last_updated": "2022-10-11",
"certification_date": "2022-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AK",
"license": "197941",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "439888",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AK",
"license": "199497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.