Individual provider Active NPI

Ashley Marie Moore, CRNA

  • Certified Registered Nurse Anesthetist
  • Topeka, KS
National Provider Identifier
1639431109
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
557106 Issued in KS
Practice address
1700 SW 7TH St
Topeka, KS 66606-2489
Phone
(785) 295-8359
NPI assigned
Jun 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 63652 NE
Certified Registered Nurse Anesthetist 367500000X 557106 KS Primary

Addresses

Primary practice location

1700 SW 7TH St
Topeka, KS 66606-2489

Mailing address

2009 SW Wildwood LN
Topeka, KS 66611-1680
Phone (785) 410-3427

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121008000418 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 1153570148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates LLPGroup PAC ID 4587631064, 17 clinicians

Practice addresses (Care Compare)

1823 College Ave
Manhattan, KS 66502-3381
Phone (785) 776-3322

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63652NEMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates LLP Nurse Anesthetist, Certified Registered CurrentSince Oct 14, 2019 Accepting new patients

Locations

1102 Saint Marys Rd
Junction City, KS 66441
Phone (785) 238-0325

1829 College Ave
Manhattan, KS 66502
Phone (785) 776-5100

1823 College Ave
Manhattan, KS 66502
Phone (785) 539-1704

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Manhattan Surgical HospitalManhattan, KS, CCN 170190 Hospital General Partnership Interest Jan 20, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1639431109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 SW WILDWOOD LN",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666111680",
            "telephone_number": "785-410-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SW 7TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062489",
            "telephone_number": "785-295-8359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "63652",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "557106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.