Active NPI
Daniel Moore, CRNA
- Certified Registered Nurse Anesthetist
- Edgewood, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 036799
- Practice address
- 1 Medical Village Dr
Edgewood, KY 41017-3403 - Phone
- (859) 341-7246
- Fax
- (859) 341-7867
- NPI assigned
- Oct 31, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 036799 | KY | Primary |
| Registered Nurse | 163W00000X | 1041947 | KY |
Addresses
Primary practice location
1 Medical Village Dr
Edgewood, KY 41017-3403
Mailing address
20 Medical Village Dr
Suite 258
Edgewood, KY 41017-5401
Phone (859) 341-7246
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0854713 | Medicaid | OH | |
| 000000537086 | Other | ANTHEM | |
| 74092115 | Medicaid | KY | |
| 200877870 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 301-2000
600 Wilson Creek Rd
Lawrenceburg, IN 47025-2751
Phone (812) 537-1010
Hospital & facility affiliations
- St Elizabeth Florence
- St Elizabeth Ft Thomas
- St Elizabeth Edgewood
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1041947 | KY | MD | Registered Nurse |
| 036799 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Group Practice, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St. Luke Hospitals Inc | Past | Accepting new patients | |
| Trihealth G LLC | Past | Accepting new patients | |
| Riverhills Anesthesia Associates | Past | Accepting new patients |
Locations
600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700
2845 Chancellor Dr
Ste 100
Crestview Hills, KY 41017
340 Thomas More Pkwy
Ste 220
Crestview Hills, KY 41017
Phone (859) 301-2211
1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000
580 S Loop Rd
Ste 100
Edgewood, KY 41017
4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200
7575 US Highway 42
Florence, KY 41042
Phone (606) 283-9100
85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100
238 Barnes Rd
Williamstown, KY 41097
Phone (859) 292-4000
4452 Eastgate Blvd
Ste 305
Cincinnati, OH 45245
Phone (513) 752-5700
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.
-
- Anesthesiology Physician
- Montgomery, OH
- NPI 1417951948
IN, KY, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fort Thomas, KY
- NPI 1649263799
-
- Obstetrics & Gynecology Physician
- Fort Thomas, KY
- NPI 1902910987
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1336242726
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Florence, KY
- NPI 1154365062
-
- General Acute Care Hospital
- Edgewood, KY
- NPI 1467492421
-
- General Acute Care Hospital
- Fort Thomas, KY
- NPI 1740221795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346112000000",
"number": "1639160674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 MEDICAL VILLAGE DR",
"address_2": "SUITE 258",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "410175401",
"telephone_number": "859-341-7246",
"fax_number": "859-341-7867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL VILLAGE DR",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "410173403",
"telephone_number": "859-341-7246",
"fax_number": "859-341-7867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "DANIEL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2012-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "036799",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KY",
"license": "1041947",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0854713",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000537086",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74092115",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200877870",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edgewood, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.