Individual provider Active NPI

Chad Brian Moore, DNP, CRNA

  • Certified Registered Nurse Anesthetist
  • Colorado Springs, CO
National Provider Identifier
1790089951
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN.0999112-CRNA Issued in CO
Practice address
1400 E Boulder St Ste 2508
Colorado Springs, CO 80909-5533
Phone
(719) 365-6999
Fax
(719) 365-2837
NPI assigned
Jan 3, 2011
Last updated
Dec 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APN.0999112-CRNA CO Primary

Addresses

Primary practice location

1400 E Boulder St Ste 2508
Colorado Springs, CO 80909-5533

Mailing address

2920 N Cascade Ave
Colorado Springs, CO 80907-6262
Phone (719) 636-1201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210930000158 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820495039 Reassigns benefits to 6 organizations

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

Practice addresses (Care Compare)

3920 N Union Blvd
Suite 240
Colorado Springs, CO 80907-4920
Phone (719) 227-9711

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0999112-CRNACOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Gastroenterology Associates CurrentSince Jul 1, 2022 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jul 25, 2022 Accepting new patients
Anesthesia of the Rocky Mountains, LLC CurrentSince May 1, 2025 Accepting new patients
Epix Anesthesia of Colorado Springs, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 11, 2024 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jul 25, 2022 Accepting new patients
Novamed Surgery Center of Colorado Springs LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 31, 2024 Accepting new patients
Epix Anesthesia of Colorado Springs, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 11, 2024 Accepting new patients
US Anesthesia Partners of Colorado Inc. Nurse Anesthetist, Certified Registered CurrentSince Sep 23, 2021 Accepting new patients
Novamed Surgery Center of Colorado Springs, LLC Past Accepting new patients
Surgical Center of Peak Endoscopy, LLC Past Accepting new patients

Locations

1400 E Boulder St
Ste 2508
Colorado Springs, CO 80909
Phone (719) 365-1292

1615 Medical Center Pt
Colorado Springs, CO 80907
Phone (719) 635-7740

1699 Medical Center Pt
Colorado Springs, CO 80907
Phone (719) 387-2144

2222 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 776-5333

2920 N Cascade Ave
Colorado Springs, CO 80907
Phone (719) 636-3937

2920 N Cascade Ave
#P
Colorado Springs, CO 80907

2920 N Cascade Ave
Fl 1
Colorado Springs, CO 80907
Phone (719) 362-2300

2920 N Cascade Ave
Ste 300
Colorado Springs, CO 80907

2940 N Circle Dr
Colorado Springs, CO 80909
Phone (719) 635-7321

3920 N Union Blvd
Ste 240
Colorado Springs, CO 80907
Phone (719) 227-9711

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

400 W 16th St
Pueblo, CO 81003
Phone (719) 584-4000

861189 Reliable Pkwy
Chicago, IL 60686

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1790089951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 N CASCADE AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076262",
            "telephone_number": "719-636-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E BOULDER ST STE 2508",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095533",
            "telephone_number": "719-365-6999",
            "fax_number": "719-365-2837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CHAD",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DNP, CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-03",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "APN.0999112-CRNA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.