Individual provider Active NPI

Kelsey Vera Moss, CRNA

  • Certified Registered Nurse Anesthetist
  • Glens Falls, NY
National Provider Identifier
1508301805
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11036664 Issued in FL
Practice address
100 Park St
Glens Falls, NY 12801-4413
Phone
(518) 926-1000
NPI assigned
Dec 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 291293 NC
Certified Registered Nurse Anesthetist 367500000X APRN11036664 FL Primary
Acute Care Nurse Practitioner 363LA2100X 433483 NY
Registered Nurse 163W00000X 631978 NY
Certified Registered Nurse Anesthetist 367500000X 631978 NY

Addresses

Primary practice location

100 Park St
Glens Falls, NY 12801-4413

Mailing address

100 Park St
Glens Falls, NY 12801-4413

Other practice location 1

509 Biltmore Ave
Asheville, NC 28801-4601
Phone (828) 213-2325

Other names 1

  • Kelsey Vera Runnalls Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210105002366 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 4587947015 Reassigns benefits to 2 organizations
I20250918003425 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4587947015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Group of Albany, PCGroup PAC ID 5092602458, 101 clinicians
Sheridan Healthcorp IncGroup PAC ID 3173429693, 956 clinicians
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

1450 Western Ave
Suite 102
Albany, NY 12203-3539
Phone (518) 463-0050

201 E Sample Rd
Deerfield Beach, FL 33064-3502
Phone (954) 939-5000

47 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-5633

Hospital & facility affiliations

  • Glens Falls Hospital Hospital, Glens Falls, NY, CCN 330191
  • Broward Health North Hospital, Deerfield Beach, FL, CCN 100086

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

Merit-based Incentive Payment System (MIPS)

Final score
98.09 of 100Reported as group
Quality
97.07
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
631978NYMDRegistered Nurse
433483NYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Syracuse Gastroenterological Associates.PC Current Accepting new patients
Sheridan Healthcorp Inc Anesthesiology Current Accepting new patients
Albany Medical College Anesthesiology Current Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Anesthesiology CurrentSince Jun 11, 2023 Accepting new patients
Albany Medical College Anesthesiology CurrentSince Jun 11, 2023 Accepting new patients
Syracuse Gastroenterological Associates PC Anesthesiology CurrentSince Aug 7, 2024 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology CurrentSince Sep 1, 2025 Accepting new patients
Albany Medical College CurrentSince Jun 11, 2023 Accepting new patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince Sep 1, 2025 Accepting new patients

Locations

201 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 786-6400

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

47 New Scotland Ave
#131
Albany, NY 12208
Phone (518) 262-4300

5000 Campuswood Dr
Ste 100
East Syracuse, NY 13057
Phone (315) 234-6687

100 Park St
Glens Falls, NY 12801
Phone (518) 926-5924

739 Irving Ave
Ste 430
Syracuse, NY 13210

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

Organizations & group practices 11

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 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": "1482451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1508301805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014413",
            "telephone_number": "518-926-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 Biltmore Ave",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014601",
            "country_code": "US",
            "telephone_number": "828-213-2325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSS",
        "first_name": "KELSEY",
        "middle_name": "VERA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-23",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "291293",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11036664",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "433483",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "631978",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "631978",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "RUNNALLS",
            "middle_name": "VERA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glens Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.