Individual provider Active NPI

Codie Breannon Moszczynski, DNP, MBA, APRN, CRNA

  • Certified Registered Nurse Anesthetist
  • Danville, KY
National Provider Identifier
1609558766
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4007954 Issued in KY
Practice address
217 S 3Rd St
Danville, KY 40422-1823
Phone
(859) 239-1000
NPI assigned
Aug 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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 4007954 KY Primary

Addresses

Primary practice location

217 S 3Rd St
Danville, KY 40422-1823

Mailing address

76 Stonewater Creek Dr Apt a
Jackson, TN 38305-6117
Phone (239) 910-5875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230831001320 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264895762 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Anesthesia, PSCGroup PAC ID 5092627521, 181 clinicians

Practice addresses (Care Compare)

310 S Limestone
Lexington, KY 40508-3008
Phone (859) 252-6612

Hospital & facility affiliations

  • Clark Regional Medical Center Hospital, Winchester, KY, CCN 180092

Merit-based Incentive Payment System (MIPS)

Final score
81.36 of 100Reported as group
Quality
64.78
Promoting interoperability
100
Improvement activities
40
Cost
67.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
4007954KYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ephraim McDowell Health Resource, Inc. Current Accepting new patients
Ephraim McDowell Health Resource,Inc CurrentSince Aug 16, 2023 Accepting new patients
Commonwealth Anesthesia, PSC Nurse Anesthetist, Certified Registered CurrentSince Feb 15, 2024 Accepting new patients
Ephraim McDowell Health Resource, Inc CurrentSince Aug 16, 2023 Accepting new patients

Locations

4305 New Shepherdsville Rd
Bardstown, KY 40004
Phone (502) 350-5000

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

216 W Walnut St
Ste A
Danville, KY 40422
Phone (859) 239-5870

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

109 Daniel Dr
Danville, KY 40422
Phone (859) 236-3361

55 Foundation Dr
Flemingsburg, KY 41041
Phone (606) 849-2351

1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

2115 Harrodsburg Rd
Lexington, KY 40504
Phone (859) 276-2520

3480 Yorkshire Medical Park
#100
Lexington, KY 40509
Phone (859) 514-0260

3475 Blazer Pkwy
Lexington, KY 40509
Phone (859) 514-0260

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

1001 Saint Joseph Ln
London, KY 40741
Phone (606) 330-6000

2511 Terra Crossing Blvd
Louisville, KY 40245
Phone (502) 589-9488

989 Medical Park Dr
Maysville, KY 41056
Phone (606) 759-3112

225 Falcon Dr
Mt Sterling, KY 40353
Phone (859) 497-5000

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

175 Hospital Dr
Winchester, KY 40391
Phone (859) 745-3500

Organizations & group practices 4

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": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1609558766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 STONEWATER CREEK DR APT A",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383056117",
            "telephone_number": "239-910-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 S 3RD ST",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221823",
            "telephone_number": "859-239-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSZCZYNSKI",
        "first_name": "CODIE",
        "middle_name": "BREANNON",
        "credential": "DNP, MBA, APRN, CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "4007954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.