Individual provider Active NPI

Yulia Moskvina, CRNA

  • Certified Registered Nurse Anesthetist
  • Springfield, VT
National Provider Identifier
1720417850
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN276031 Issued in MA
Practice address
25 Ridgewood Rd
Springfield, VT 05156-3050
Phone
(802) 885-2151
NPI assigned
Nov 8, 2013
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 086544-23 NH
Certified Registered Nurse Anesthetist 367500000X RN276031 MA Primary

Addresses

Primary practice location

25 Ridgewood Rd
Springfield, VT 05156-3050

Mailing address

PO Box 78
Brownsville, VT 05037-0078

Other practice location 1

1 Medical Center Dr # 1000
Lebanon, NH 03756-0001
Phone (603) 650-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, TX, VT, NH4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20140211000008 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507095775 Reassigns benefits to 2 organizations
I20171207001402 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507095775 Reassigns benefits to 2 organizations
I20200106002973 VT Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507095775 Reassigns benefits to 4 organizations
I20241210002669 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507095775 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dartmouth-Hitchcock ClinicGroup PAC ID 4183537509, 1,445 clinicians
Lawrence Anesthesia Services LLCGroup PAC ID 4082770136, 127 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000

123 Summer St
Worcester, MA 01608-1216
Phone (508) 363-5000

289 County Rd
Windsor, VT 05089-9000
Phone (802) 674-6711

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Hitchcock Memorial Hospital CurrentSince Dec 4, 2024 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Dec 4, 2024 Accepting new patients
Berkshire Medical Center, Inc CurrentSince Jul 1, 2024 Accepting new patients
MCH Professional Care Hospital Based CurrentSince Nov 1, 2017 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 27, 2022 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Dec 4, 2024 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 24, 2021 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Dec 4, 2024 Accepting new patients
Springfield Hospital Inc Nurse Anesthetist, Certified Registered CurrentSince Dec 9, 2019 Accepting new patients
Berkshire Medical Center Inc. CurrentSince Jul 1, 2024 Accepting new patients

Locations

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

17 Belmont Ave
Brattleboro, VT 05301
Phone (802) 257-8360

25 Ridgewood Rd
Springfield, VT 05156
Phone (780) 281-9593

289 County Rd
Windsor, VT 05089
Phone (802) 674-7220

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1720417850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78",
            "city": "BROWNSVILLE",
            "state": "VT",
            "postal_code": "050370078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 RIDGEWOOD RD",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051563050",
            "telephone_number": "802-885-2151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Dr # 1000",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037560001",
            "country_code": "US",
            "telephone_number": "603-650-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSKVINA",
        "first_name": "YULIA",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-08",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "086544-23",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "RN276031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.