Individual provider Active NPI

Heather Lyn Moore, CRNA

  • Certified Registered Nurse Anesthetist
  • Baltimore, MD
National Provider Identifier
1366426207
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R129274 Issued in MD
Practice address
9000 Franklin Square Dr
Anesthesia Department
Baltimore, MD 21237-3901
Phone
(443) 777-7179
NPI assigned
Dec 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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 R129274 MD Primary

Addresses

Primary practice location

9000 Franklin Square Dr
Anesthesia Department
Baltimore, MD 21237-3901

Mailing address

9000 Franklin Square Dr
Anesthesia Department
Baltimore, MD 21237-3901
Phone (443) 777-7179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040506001143 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820087877 Reassigns benefits to 1 organization
I20050728001013 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820087877 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Disease Associates LLCGroup PAC ID 1951734078, 46 clinicians
University of Maryland St Joseph Medical Group LLCGroup PAC ID 4880846179, 288 clinicians

Practice addresses (Care Compare)

1220 E Joppa Rd
Suite 508
Towson, MD 21286-5811
Phone (410) 296-4415

7601 Osler Dr
Towson, MD 21204-7700
Phone (410) 337-4877

Hospital & facility affiliations

  • University of MD St Joseph Medical Center Hospital, Towson, MD, CCN 210063

Merit-based Incentive Payment System (MIPS)

Final score
87.09 of 100Reported as group
Quality
79.06
Promoting interoperability
100
Improvement activities
40
Cost
77.9

Merit-based Incentive Payment System (MIPS)

Final score
63.85 of 100Reported as group
Quality
57.47
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R129274MDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
First Colonies Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2013 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Mar 14, 2020 Accepting new patients
Digestive Disease Associates, LLC CurrentSince Apr 1, 2022 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Mar 14, 2020 Accepting new patients
Comprehensive Pain and Anesthesia Services, PA Past Accepting new patients
Chesapekae Perioperative Services L.L.C. Past Accepting new patients
Chesapeake Pain Management, LLC Past Accepting new patients

Locations

851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

10710 Charter Dr
Ste 110
Columbia, MD 21044
Phone (410) 992-9797

11210 Old Georgetown Rd
#12202
Rockville, MD 20852
Phone (301) 881-7770

11210 Old Georgetown Rd
Rockville, MD 20852
Phone (301) 881-7770

7600 Carroll Ave
Takoma Park, MD 20912
Phone (301) 791-7600

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

8322 Bellona Ave
Ste 201
Towson, MD 21204
Phone (410) 337-2688

1220C E Joppa Rd
Ste 508
Towson, MD 21286
Phone (410) 296-4415

7505 Osler Dr
Ste 307
Towson, MD 21204
Phone (410) 828-7200

7505 Osler Dr
Ste 502
Towson, MD 21204
Phone (410) 296-1464

1220 E Joppa Rd
Ste 508
Towson, MD 21286
Phone (410) 296-4415

Interoperability endpoints

  • Direct secure messaging: hmoore108988@direct.umm.edu

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1366426207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 FRANKLIN SQUARE DR",
            "address_2": "ANESTHESIA DEPARTMENT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373901",
            "telephone_number": "443-777-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 FRANKLIN SQUARE DR",
            "address_2": "ANESTHESIA DEPARTMENT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373901",
            "telephone_number": "443-777-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "HEATHER",
        "middle_name": "LYN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R129274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.