Active NPI
Jennifer Leigh Moore, CRNA
- Certified Registered Nurse Anesthetist
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP9277203
- Practice address
- PSC 827
Fpo, AE 09617 - Phone
- 011390814324
- NPI assigned
- Sep 2, 2005
- Last updated
- Jul 10, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RNA36612 | RI | |
| Certified Registered Nurse Anesthetist | 367500000X | ARNP9277203 | FL | Primary |
Addresses
Primary practice location
PSC 827
Fpo, AE 09617
Mailing address
1818 Roscoe Turner TRL
Port Orange, FL 32128-6838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
541 Health Blvd
Daytona Beach, FL 32114-1493
Phone (386) 239-0021
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.8 of 100
- Quality
- 99.47
- Improvement activities
- 40
- Cost
- 83.62
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RNA36612 | RI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amsurg Port Orange Anesthesia, LLC | Current | Accepting new patients | |
| Guide Anesthesia FL LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| US Anesthesia Partners of Florida Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Innovative Medical Staffing Solutions Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872
107 Park Place Blvd
Davenport, FL 33837
Phone (863) 419-2812
107 Park Place Blvd
Ste 800
Davenport, FL 33837
541 Health Blvd
Daytona Beach, FL 32114
Phone (386) 239-0021
3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
905 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 256-0933
401 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 424-5000
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
300 Clyde Morris Blvd
Ste B
Ormond Beach, FL 32174
Phone (386) 672-1080
345 Clyde Morris Blvd
Ste 300
Ormond Beach, FL 32174
Phone (386) 672-7575
3635 Clyde Morris Blvd
Ste 500
Port Orange, FL 32129
Phone (386) 760-8151
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
Organizations & group practices 4
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.
-
- Certified Registered Nurse Anesthetist
- Orlando, FL
- NPI 1073408514
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Port Orange, FL
- NPI 1043654270
-
dba JLR Anesthesia Assoc
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
Nurse Anesthetist, Certified Registered
-
dba iMEDSolutions
- Certified Registered Nurse Anesthetist
- Orlando, FL
- NPI 1629308713
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215648000000",
"number": "1801880091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1818 ROSCOE TURNER TRL",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321286838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "MIL",
"address_1": "PSC 827",
"city": "FPO",
"state": "AE",
"postal_code": "09617",
"telephone_number": "011390814324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "JENNIFER",
"middle_name": "LEIGH",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-02",
"last_updated": "2008-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "RI",
"license": "RNA36612",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9277203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.