Individual provider Active NPI

Bridget L. Moore, CRNA

  • Certified Registered Nurse Anesthetist
  • Omaha, NE
National Provider Identifier
1750600268
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
101170 Issued in NE
Practice address
16901 Lakeside Hills CT
Omaha, NE 68130-2318
Phone
(402) 717-8000
NPI assigned
May 24, 2010
Last updated
Sep 10, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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 209008154 IL
Certified Registered Nurse Anesthetist 367500000X 101170 NE Primary

Addresses

Primary practice location

16901 Lakeside Hills CT
Omaha, NE 68130-2318

Mailing address

16901 Lakeside Hills CT
Omaha, NE 68130-2318
Phone (402) 717-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR, TN, KY4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20130411000080 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941484935 Reassigns benefits to 5 organizations
I20200928001862 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941484935 Reassigns benefits to 2 organizations
I20210723002341 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941484935 Reassigns benefits to 1 organization
I20250228003021 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941484935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ozarks Medical CenterGroup PAC ID 3870491863, 166 clinicians

Practice addresses (Care Compare)

1100 N Kentucky Ave
West Plains, MO 65775-2029
Phone 41725691116036

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101170NEMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Hannibal Regional Healthcare System Inc CurrentSince Jan 12, 2013 Accepting new patients
Rural Health Pain Management LLC CurrentSince Sep 1, 2024 Accepting new patients
Commonwealth Anesthesia, PSC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
Texas County Memorial Hospital CurrentSince Mar 18, 2019 Accepting new patients
Arkansas Health Group CurrentSince Jan 2, 2023 Accepting new patients
East Memphis Anesthesia Services PLC CurrentSince Jun 1, 2021 Accepting new patients
Capital Anesthesia Solutions of Missouri LLC CurrentSince Dec 1, 2021 Accepting new patients
Texas County Memorial Hospital Nurse Anesthetist, Certified Registered CurrentSince Mar 18, 2019 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 21, 2020 Accepting new patients
Arkansas Health Group CurrentSince Jan 2, 2023 Accepting new patients
Heartland Anesthesia Services PC Past Accepting new patients
Texas County Memorial Hospital Past Accepting new patients
East Memphis Anesthesia Services, PLLC Past Accepting new patients

Locations (25 of 28)

700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200

1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

778 Scogin Dr
Monticello, AR 71655
Phone (870) 367-2411

211 Crawford Memorial Dr
Van Buren, AR 72956
Phone (479) 471-4300

4305 New Shepherdsville Rd
Bardstown, KY 40004
Phone (502) 350-5000

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

55 Foundation Dr
Flemingsburg, KY 41041
Phone (606) 849-2351

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

2115 Harrodsburg Rd
Lexington, KY 40504
Phone (859) 276-2520

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

3475 Blazer Pkwy
Lexington, KY 40509
Phone (859) 514-0260

3480 Yorkshire Medical Park
#100
Lexington, KY 40509
Phone (859) 514-0260

425 Lewis Hargett Cir
Lexington, KY 40503
Phone (606) 679-9322

1001 Saint Joseph Ln
London, KY 40741
Phone (606) 330-6000

2511 Terra Crossing Blvd
Louisville, KY 40245
Phone (502) 589-9488

989 Medical Park Dr
Maysville, KY 41056
Phone (606) 759-3112

225 Falcon Dr
Mt Sterling, KY 40353
Phone (859) 497-5000

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

175 Hospital Dr
Winchester, KY 40391
Phone (859) 745-3500

6000 Hospital Dr
Hannibal, MO 63401
Phone (573) 248-5460

6000 Hospital Dr
#1257
Hannibal, MO 63401
Phone (573) 248-5460

1333 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-3311

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1750600268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16901 LAKESIDE HILLS CT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302318",
            "telephone_number": "402-717-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16901 LAKESIDE HILLS CT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302318",
            "telephone_number": "402-717-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BRIDGET",
        "middle_name": "L.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-24",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209008154",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "101170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.

Verify at the official NPI Registry.