Individual provider Active NPI

Karrianne Lyn Moore, CRNA

  • Certified Registered Nurse Anesthetist
  • Elk City, OK
National Provider Identifier
1326378233
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
10005665 Issued in OK
Practice address
1801 W 3Rd St
Elk City, OK 73644-5145
Phone
(802) 252-5115
Fax
(580) 225-9143
NPI assigned
Dec 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 45404 WY
Certified Registered Nurse Anesthetist 367500000X 4076 SC
Certified Registered Nurse Anesthetist 367500000X APN 4076 SC
Certified Registered Nurse Anesthetist 367500000X 10005665 OK Primary

Addresses

Primary practice location

1801 W 3Rd St
Elk City, OK 73644-5145

Mailing address

3100 Spring Forest Rd
Suite 130
Raleigh, NC 27616-2880
Phone (919) 882-0705

Other identifiers 1

IdentifierTypeStateIssuer
AN 2051MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK, AR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20201211000032 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567504111 Reassigns benefits to 6 organizations
I20220112001036 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567504111 Reassigns benefits to 2 organizations
I20260415001861 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567504111 Reassigns benefits to 3 organizations

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
Farmers Union Hospital AssociationGroup PAC ID 7517949415, 43 clinicians

Practice addresses (Care Compare)

1801 W 3Rd St
Elk City, OK 73644-5145
Phone (580) 225-2511

Hospital & facility affiliations

  • Great Plains Regional Medical Center Hospital, Elk City, OK, CCN 370019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4076SCMDPediatric Dentist
10005665OKMDCertified Registered Nurse Anesthetist
APN 4076SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Farmers Union Hospital Association Current Accepting new patients
Rosebud Indian Health Service CurrentSince Mar 18, 2021 Accepting new patients
Wichita Falls Anesthesia PLLC CurrentSince Jun 1, 2021 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Jan 10, 2021 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Jan 10, 2021 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2021 Accepting new patients
Rosebud Indian Health Service CurrentSince Mar 18, 2021 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2021 Accepting new patients
Farmers Union Hospital Association CurrentSince Feb 1, 2025 Accepting new patients
GPCH, LLC CurrentSince Feb 1, 2023 Accepting new patients
GPCH, LLC Current Accepting new patients
Western Oklahoma Anesthesia Consultants PLLC CurrentSince Dec 7, 2021 Accepting new patients
Anesthesia Network Services, LLC Past Accepting new patients

Locations

1801 W 3rd St
Elk City, OK 73644
Phone 5802255403677

1710 W 3rd St
Ste 100
Elk City, OK 73644
Phone (580) 255-1555

1800 W 1st St
Ste 3
Elk City, OK 73644
Phone (580) 225-4699

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

3701 E Main St
Weatherford, OK 73096
Phone (580) 772-5551

900 17th St
Woodward, OK 73801
Phone (405) 610-4411

100 Medical Dr
Borger, TX 79007
Phone (806) 273-1100

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

1305 Wonder World Dr
Ste 105
San Marcos, TX 78666
Phone (512) 353-8161

1600 11th St
Wichita Falls, TX 76301
Phone (940) 263-3000

Organizations & group practices 16

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.

View all 16

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": "1262044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1326378233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SPRING FOREST RD",
            "address_2": "SUITE 130",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276162880",
            "telephone_number": "919-882-0705",
            "fax_number": "919-873-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W 3RD ST",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736445145",
            "telephone_number": "802-252-5115",
            "fax_number": "580-225-9143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KARRIANNE",
        "middle_name": "LYN",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-29",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WY",
            "license": "45404",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "4076",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "APN 4076",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "10005665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN 2051",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.

Verify at the official NPI Registry.