Individual provider Active NPI

Jennifer Leann Moser

  • Certified Registered Nurse Anesthetist
  • Chattanooga, TN
National Provider Identifier
1306806690
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN11895 Issued in TN
Practice address
2333 McCallie Ave
Chattanooga, TN 37404-3258
Phone
(423) 698-6061
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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 APN11895 TN Primary

Addresses

Primary practice location

2333 McCallie Ave
Chattanooga, TN 37404-3258

Mailing address

7947 Eureka Rd NW
Charleston, TN 37310-5107
Phone (423) 290-4801

Other identifiers 2

IdentifierTypeStateIssuer
1512211MedicaidTN
4118347OtherTNBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060317000393 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547277436 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resource Anesthesia, P.C.Group PAC ID 1254228141, 71 clinicians

Practice addresses (Care Compare)

1210 Tennova Medical Way
Knoxville, TN 37909-3120
Phone (865) 909-4930

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN11895TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of Tennessee, P.C. CurrentSince Aug 15, 2016 Accepting new patients
University Anesthesiologists, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
Resource Anesthesia, P.C. Nurse Anesthetist, Certified Registered CurrentSince May 1, 2024 Accepting new patients
American Anesthesiology of Tennessee, P.C. Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2016 Accepting new patients
Anesthesiologists Associated PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesiologists Associated PC Past Accepting new patients
University Anesthesiologists, PLLC Past Accepting new patients
Chattanooga Endoscopy ASC LLC Past Accepting new patients

Locations

105 N Meadows Dr
Athens, TN 37303
Phone (423) 649-3300

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620

2515 Desales Ave
Chattanooga, TN 37404
Phone (423) 648-6672

801 N Weisgarber Rd
Ste 100
Knoxville, TN 37909
Phone 86558851211644

1924 Alcoa Hwy
#U109
Knoxville, TN 37920
Phone (865) 305-9220

1210 Tennova Medical Way
Knoxville, TN 37909
Phone (702) 271-8476

11440 Parkside Dr
Knoxville, TN 37934
Phone (865) 675-0688

501 20th St
Ste 606
Knoxville, TN 37916
Phone (865) 331-2278

4713 Papermill Dr
Ste 100
Knoxville, TN 37909
Phone (865) 851-7771

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

550 Fort Loudon Medical Center Dr
#C
Lenoir City, TN 37772

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1306806690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7947 EUREKA RD NW",
            "city": "CHARLESTON",
            "state": "TN",
            "postal_code": "373105107",
            "telephone_number": "423-290-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 MCCALLIE AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043258",
            "telephone_number": "423-698-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSER",
        "first_name": "JENNIFER",
        "middle_name": "LEANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "APN11895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1512211",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4118347",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.