Active NPI
Karrianne Lyn Moore, CRNA
- Certified Registered Nurse Anesthetist
- Elk City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 10005665
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AN 2051 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OK, AR
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4076 | SC | MD | Pediatric Dentist |
| 10005665 | OK | MD | Certified Registered Nurse Anesthetist |
| APN 4076 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Farmers Union Hospital Association | Current | Accepting new patients | |
| Rosebud Indian Health Service | Current | Accepting new patients | |
| Wichita Falls Anesthesia PLLC | Current | Accepting new patients | |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Rosebud Indian Health Service | Current | Accepting new patients | |
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Farmers Union Hospital Association | Current | Accepting new patients | |
| GPCH, LLC | Current | Accepting new patients | |
| GPCH, LLC | Current | Accepting new patients | |
| Western Oklahoma Anesthesia Consultants PLLC | Current | 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.
-
- General Acute Care Hospital
- Elk City, OK
- NPI 1184639122
-
- Anesthesiology Physician
- Elk City, OK
- NPI 1881102614
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Borger, TX
- NPI 1841497153
-
- Anesthesiology Physician
- Wichita Falls, TX
- NPI 1639636210
-
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
Nurse Anesthetist, Certified Registered, TX
-
- Critical Access Hospital
- Dumas, AR
- NPI 1295767689
-
- Critical Access Hospital
- Piggott, AR
- NPI 1891781837
-
- Pain Medicine (Anesthesiology) Physician
- Forrest City, AR
- NPI 1265039556
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Broken Bow, OK
- NPI 1447143532
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elk City, OK
- NPI 1184639122
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.