Active NPI
Anne Marie Bombardier, CRNA
- Certified Registered Nurse Anesthetist
- Coos Bay, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 201701964CRNA
- Practice address
- 1900 Woodland Dr
Coos Bay, OR 97420-2099 - Phone
- (541) 267-5151
- Fax
- (541) 266-4560
- NPI assigned
- Nov 7, 2007
- Last updated
- Mar 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 183804 | CO | |
| Certified Registered Nurse Anesthetist | 367500000X | 201701964CRNA | OR | Primary |
Addresses
Primary practice location
1900 Woodland Dr
Coos Bay, OR 97420-2099
Mailing address
1900 Woodland Dr
Coos Bay, OR 97420-2099
Phone (541) 267-5151
Other names 1
- Anne Marie Moeckly
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.45 of 100
- Quality
- 69.6
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.59
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 183804 | CO | MD | Certified Registered Nurse Anesthetist |
| 201701964CRNA | OR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Bend Medical Center Inc | Current | Accepting new patients | |
| Bay Area Hospital District | Current | Accepting new patients | |
| Bay Area Hospital District | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North Bend Medical Center Inc | Current | Accepting new patients | |
| Matthew J Furman, D.O. LLC | Past | Accepting new patients |
Locations
Dept LA 25339
Pasadena, CA 91185
1900 Woodland Dr
Coos Bay, OR 97420
Phone (541) 267-5151
2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411
Organizations & group practices 5
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.
-
dba Bay Area Hospital
- General Acute Care Hospital
- Coos Bay, OR
- NPI 1225016561
Nurse Anesthetist, Certified Registered
-
dba NBMC-Main
- Multi-Specialty Clinic/Center
- Coos Bay, OR
- NPI 1407812365
-
- Home Health Agency
- North Bend, OR
- NPI 1215018197
-
dba NBMC-Xray Ekg
- Diagnostic Radiology Physician
- Coos Bay, OR
- NPI 1063428308
-
- Pain Medicine Physician
- Pueblo, CO
- NPI 1952739427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741651200000",
"number": "1750561650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 WOODLAND DR",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974202099",
"telephone_number": "541-267-5151",
"fax_number": "541-266-4560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 WOODLAND DR",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974202099",
"telephone_number": "541-267-5151",
"fax_number": "541-266-4560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOMBARDIER",
"first_name": "ANNE",
"middle_name": "MARIE",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-07",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CO",
"license": "183804",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OR",
"license": "201701964CRNA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNE",
"last_name": "MOECKLY",
"middle_name": "MARIE",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Coos Bay, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.