Individual provider Active NPI

Brent J Moellering, CRNA

  • Certified Registered Nurse Anesthetist
  • Columbus, OH
National Provider Identifier
1619966983
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN241497 NA01399 Issued in OH
Practice address
111 S Grant Ave
3Rd FL
Columbus, OH 43215-4701
Phone
(614) 566-8808
Fax
(614) 566-9503
NPI assigned
Oct 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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 RN241497 NA01399 OH Primary

Addresses

Primary practice location

111 S Grant Ave
3Rd FL
Columbus, OH 43215-4701

Mailing address

1299 Olentangy River Rd
Ste 103
Columbus, OH 43212-3135
Phone (614) 566-4278

Other practice location 1

4845 Knightsbridge Blvd
Columbus, OH 43214-2463
Phone (614) 566-4919

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040526001704 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173504016 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Physician Anesthesia Services, Inc.Group PAC ID 8921997230, 159 clinicians

Practice addresses (Care Compare)

3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone (614) 566-4919

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
83 of 100Reported as group
Quality
80
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN241497 NA01399OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Anesthesia Associates Inc CurrentSince Apr 1, 2003 Accepting new patients
Midwest Physician Anesthesia Services, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jun 10, 2024 Accepting new patients
Anesthesia Group Practice, Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2022 Accepting new patients
Mask Anesthesia Consultants Inc CurrentSince Nov 1, 2016 Accepting new patients
New Albany Orthopedic Anesthesia LLC Past Accepting new patients
Anesthesiology Consultants, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients
Grant Anesthesia Services LTD Past Accepting new patients
Ohiohealth Corporation Past Accepting new patients
Deperro Plastic Surgery, LLC Past Accepting new patients

Locations

262 Neil Ave
Ste 500
Columbus, OH 43215
Phone (614) 827-6600

4845 Knightsbridge Blvd
Columbus, OH 43214
Phone (614) 273-0400

275 Taylor Station Rd
Columbus, OH 43213
Phone (614) 566-9983

4845 Knightsbridge Blvd
Ste 110
Columbus, OH 43214
Phone (614) 273-0400

5151 Reed Rd
Ste 225C
Columbus, OH 43220
Phone (614) 457-2306

111 S Grant Ave
Fl 3
Columbus, OH 43215
Phone (614) 566-9871

5965 E Broad St
Ste 460
Columbus, OH 43213
Phone (614) 751-4080

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

L3800
Columbus, OH 43260

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1619966983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 OLENTANGY RIVER RD",
            "address_2": "STE 103",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123135",
            "telephone_number": "614-566-4278",
            "fax_number": "614-566-5424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S GRANT AVE",
            "address_2": "3RD FL",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154701",
            "telephone_number": "614-566-8808",
            "fax_number": "614-566-9503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4845 Knightsbridge Blvd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432142463",
            "country_code": "US",
            "telephone_number": "614-566-4919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOELLERING",
        "first_name": "BRENT",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN241497 NA01399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.