Active NPI
Cheryl Stewart Moore, CRNA
- Certified Registered Nurse Anesthetist
- Salisbury, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 45272
- Practice address
- 612 Mocksville Ave
Salisbury, NC 28144-2732 - Phone
- (704) 210-5661
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 45272 | NC | Primary |
Addresses
Primary practice location
612 Mocksville Ave
Salisbury, NC 28144-2732
Mailing address
265 N 3Rd St
Albemarle, NC 28001-4011
Phone (704) 985-0144
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00117358 | Other | NC | RR MEDICARE |
| 8050664 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45272 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinaeast Medical Center | Current | Accepting new patients | |
| Carolinaeast Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Wake Forest University Health Sciences | Current | Accepting new patients | |
| East Carolina Anesthesia Associates, PLLC | Anesthesiology | Current | Accepting new patients |
| Digestive Health Endoscopy Center | Anesthesiology | Current | Accepting new patients |
| Lighthouse Anesthesia LLC | Anesthesiology | Past | Accepting new patients |
| Cabarrus Memorial Hospital | Past | Accepting new patients | |
| Novant Health Rowan Medical Center LLC | Past | Accepting new patients |
Locations
1001 W Williams St
Ste 103
Apex, NC 27502
Phone (919) 363-2111
920 Church St N
Ste 300
Concord, NC 28025
Phone (704) 783-4235
920 Church St N
Concord, NC 28025
Phone (704) 403-3000
3202 Boone Trl
Fayetteville, NC 28306
Phone (910) 223-7011
2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140
3714 Guardian Ave
Ste W
Morehead City, NC 28557
Phone (252) 247-0314
2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104
612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
Organizations & group practices 8
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.
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
- Certified Registered Nurse Anesthetist
- New Bern, NC
- NPI 1710923875
Nurse Anesthetist, Certified Registered
-
dba All-American Anesthesia, LLC
- Certified Registered Nurse Anesthetist
- Fayetteville, NC
- NPI 1376914283
Anesthesiology
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
-
- Prosthetic/Orthotic Supplier
- New Bern, NC
- NPI 1427084680
-
dba NorthEast Medical Center
- General Acute Care Hospital
- Concord, NC
- NPI 1093711525
-
dba Novant Health Rowan Medical Center
- General Acute Care Hospital
- Salisbury, NC
- NPI 1508843566
-
- Anesthesiology Physician
- Savannah, GA
- NPI 1306036561
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wilkes Regional Medical Center
- General Acute Care Hospital
- North Wilkesboro, NC
- NPI 1881614071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1760414924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 N 3RD ST",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280014011",
"telephone_number": "704-985-0144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 MOCKSVILLE AVE",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281442732",
"telephone_number": "704-210-5661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "CHERYL",
"middle_name": "STEWART",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "45272",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00117358",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8050664",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, NC
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.