Evan Blake Moon, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

APN.0995199-CRNA Issued in CO

Practice address

2920 N Cascade Ave Ste 300
Colorado Springs, CO 80907-6262

Phone

(719) 636-1201

Fax

(719) 636-1326

NPI assigned

Aug 15, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peak Gastroenterology AssociatesGroup PAC ID 2961484365, 32 clinicians

Southern Colorado Crna Associates IncGroup PAC ID 3072785559, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.8 of 100Reported as group

Quality

85

Improvement activities

40

Cost

76.83

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

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.

• Peak Gastroenterology Associates

  • Gastroenterology Physician
  • Colorado Springs, CO
  • NPI 1023112117
  Medicare reassignment Care Compare group NPD
• Southern Colorado Crna Associates Inc

  • Certified Registered Nurse Anesthetist
  • Pueblo, CO
  • NPI 1043538382

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Arapahoe Gastroenterology Anesthesia Associates LLC

  • Certified Registered Nurse Anesthetist
  • Littleton, CO
  • NPI 1598115479

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Ecgj Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Grand Junction, CO
  • NPI 1609120070

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• US Anesthesia Partners of Colorado Inc.

  • Anesthesiology Physician
  • Greenwood Village, CO
  • NPI 1922365782

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  CO, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1437603891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 N CASCADE AVE STE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076262",
            "telephone_number": "719-636-1201",
            "fax_number": "719-636-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 N CASCADE AVE STE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076262",
            "telephone_number": "719-636-1201",
            "fax_number": "719-636-1326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Kimel Park Dr",
            "address_2": "Suite 120",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271036984",
            "country_code": "US",
            "telephone_number": "336-768-3212",
            "fax_number": "336-768-9019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOON",
        "first_name": "EVAN",
        "middle_name": "BLAKE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-15",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "APN.0995199-CRNA",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "272878",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charity Virtue Moody
• Christine Toner Moody, LMT
• Jeffrey A Moody, MD
• Tamara N Moody, APRN
• Moon Ride
• Jillyn Moon, RBT
• Amanda Mooney
• Joseph Mooney
• Kimberly Kathleen Mooney
• Moonlit Counseling

• Certified Registered Nurse Anesthetist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Certified Registered Nurse Anesthetist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.