Active NPI
Charles A Moores, CRNA
- Certified Registered Nurse Anesthetist
- Coeur D Alene, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RNA468
- Practice address
- 2204 Ironwood PL Ste B
Coeur D Alene, ID 83814-2662 - Phone
- (208) 765-8585
- Fax
- (208) 765-8486
- NPI assigned
- Apr 10, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RNA468 | ID | Primary |
Addresses
Primary practice location
2204 Ironwood PL Ste B
Coeur D Alene, ID 83814-2662
Mailing address
2204 Ironwood PL
Ste B
Coeur D Alene, ID 83814-2662
Phone (208) 762-7487
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 806221900 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI, ID, NM, MT
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040420000276 | HI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6709871569 | Reassigns benefits to 1 organization |
| I20100826000527 | ID | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6709871569 | Reassigns benefits to 2 organizations |
| I20180222000454 | NM | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6709871569 | Reassigns benefits to 1 organization |
| I20241115002365 | MT | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6709871569 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Netherlands Anesthesia, LLCMarcus Daly Memorial Hospital Corporation
Practice addresses (Care Compare)
104 Legion Dr
Las Vegas, NM 87701-4804
Phone (505) 426-3500
1200 Westwood Dr
Hamilton, MT 59840-2345
Phone (406) 363-2211
Hospital & facility affiliations
- Bitterroot Health - Daly Hospital
- Holy Cross Hospital a Div of Taos Health Systems
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.72 of 100
- Quality
- 84.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 69.27 of 100
- Quality
- 24.16
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.41
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RNA468 | ID | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstream Anesthesia Hawaii, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Marcus Daly Memorial Hospital Corporation | Current | Accepting new patients | |
| Anesthesia Associates of Coeur D Alene PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Netherlands Anesthesia, LLC | Current | Accepting new patients | |
| Marcus Daly Memorial Hospital Corporation | Current | Accepting new patients | |
| Marcus Daly Memorial Hospital Corporation | Current | Accepting new patients | |
| Teton Valley Health Care Inc | Past | Accepting new patients | |
| Taos Health Systems, Inc., Holy Cross Hospital | Past | Accepting new patients | |
| Medical Imaging Associates of Idaho Falls, Inc | Past | Accepting new patients |
Locations
67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400
2204 N Ironwood Pl
Ste B
Coeur D Alene, ID 83814
Phone (208) 765-8585
2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085
415 6th St
Lewiston, ID 83501
Phone (208) 750-7445
1224 W Main St
Hamilton, MT 59840
Phone (406) 375-4823
1200 Westwood Dr
Hamilton, MT 59840
Phone (406) 363-2211
601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040
104 Legion Dr
Las Vegas, NM 87701
Phone (505) 426-3500
1397 Weimer Rd
Taos, NM 87571
Phone (575) 751-5746
Interoperability endpoints
- charles.moores.1@15468.direct.athenahealth.com
Organizations & group practices 17
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Coeur D Alene, ID
- NPI 1962440966
ID, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Kamuela, HI
- NPI 1346621190
HI, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
ID, Nurse Anesthetist, Certified Registered
-
- Rural Health Clinic/Center
- Stevensville, MT
- NPI 1346337664
-
- Rural Health Clinic/Center
- Darby, MT
- NPI 1396191276
-
- Rural Health Clinic/Center
- Corvallis, MT
- NPI 1396832127
-
- Inpatient Hospice
- Hamilton, MT
- NPI 1427151828
-
- Medicare Defined Swing Bed Hospital Unit
- Hamilton, MT
- NPI 1477662195
-
- Rural Health Clinic/Center
- Hamilton, MT
- NPI 1881794949
-
- Rural Health Clinic/Center
- Victor, MT
- NPI 1962949982
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Hamilton, MT
- NPI 1659475846
Hospital
-
- General Acute Care Hospital
- Taos, NM
- NPI 1194751958
Hospital
-
- Critical Access Hospital
- Taos, NM
- NPI 1902338049
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536537600000",
"number": "1760445910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2204 IRONWOOD PL",
"address_2": "STE B",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142662",
"telephone_number": "208-762-7487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2204 IRONWOOD PL STE B",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142662",
"telephone_number": "208-765-8585",
"fax_number": "208-765-8486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORES",
"first_name": "CHARLES",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2018-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ID",
"license": "RNA468",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "806221900",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coeur D Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.