Active NPI
Jeremy Joseph Moniz, CRNA
- Certified Registered Nurse Anesthetist
- Portland, ME
National Provider Identifier
1699581033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RNA263025
- Practice address
- 22 Bramhall St
Portland, ME 04102-3134 - Phone
- (207) 662-2526
- Fax
- (207) 662-6236
- NPI assigned
- Dec 10, 2024
- 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 | RNA263025 | ME | Primary |
| Registered Nurse | 163W00000X | 200866 | LA |
Addresses
Primary practice location
22 Bramhall St
Portland, ME 04102-3134
Mailing address
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-2526
Other practice location 1
2000 Canal St
New Orleans, LA 70112-3018
Phone (504) 702-3000
Other practice location 2
100 Campus Dr Unit 113
Scarborough, ME 04074-7172
Phone (207) 396-7750
Other practice location 3
1 Medical Center Dr
Biddeford, ME 04005-9422
Phone (207) 283-7042
Other practice location 4
25 June St
Sanford, ME 04073-2621
Phone (207) 490-7450
Other practice location 5
335 Brighton Ave
Portland, ME 04102-2314
Phone (207) 662-8000
Other practice location 6
84 Campus Dr
Scarborough, ME 04074-7133
Phone (207) 396-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260615000155 | ME | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2860964582 |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1 Riverfront PLZ
Westbrook, ME 04092-9700
PO Box
Suite 360489
Pittsburgh, PA 15251-6489
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200866 | LA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780876800000",
"number": "1699581033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 BRAMHALL ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041023134",
"telephone_number": "207-662-2526",
"fax_number": "207-662-6236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 BRAMHALL ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041023134",
"telephone_number": "207-662-2526",
"fax_number": "207-662-6236"
}
],
"practiceLocations": [
{
"address_1": "2000 Canal St",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701123018",
"country_code": "US",
"telephone_number": "504-702-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Campus Dr Unit 113",
"address_purpose": "LOCATION",
"city": "Scarborough",
"state": "ME",
"postal_code": "040747172",
"country_code": "US",
"telephone_number": "207-396-7750",
"fax_number": "207-396-7138",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Biddeford",
"state": "ME",
"postal_code": "040059422",
"country_code": "US",
"telephone_number": "207-283-7042",
"fax_number": "207-283-7047",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25 June St",
"address_purpose": "LOCATION",
"city": "Sanford",
"state": "ME",
"postal_code": "040732621",
"country_code": "US",
"telephone_number": "207-490-7450",
"fax_number": "207-490-7452",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "335 Brighton Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041022314",
"country_code": "US",
"telephone_number": "207-662-8000",
"fax_number": "207-662-6234",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "84 Campus Dr",
"address_purpose": "LOCATION",
"city": "Scarborough",
"state": "ME",
"postal_code": "040747133",
"country_code": "US",
"telephone_number": "207-396-7000",
"fax_number": "207-396-7172",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONIZ",
"first_name": "JEREMY",
"middle_name": "JOSEPH",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-12-10",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ME",
"license": "RNA263025",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "LA",
"license": "200866",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.