Lucas John Moersdorf, C.R.N.A.

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

12486 Issued in TN

Practice address

990 Oak Ridge Turnpike
MMC Anesthesia PC
Oak Ridge, TN 37830-6976

Phone

(919) 858-6303

Fax

(770) 237-1124

NPI assigned

Oct 28, 2006

Last updated

Feb 6, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifelinc Anesthesia VIII PLLCGroup PAC ID 3173984762, 155 clinicians

Resource Anesthesia, P.C.Group PAC ID 1254228141, 71 clinicians

Covenant Anesthesia Group PCGroup PAC ID 6901795830, 231 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fort Loudoun Medical Center Hospital, Lenoir City, TN, CCN 440110
• Cookeville Regional Medical Center Hospital, Cookeville, TN, CCN 440059

Merit-based Incentive Payment System (MIPS)

Final score

87.17 of 100Reported as group

Quality

82.57

Promoting interoperability

100

Improvement activities

40

Cost

71.91

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Covenant Anesthesia Group, PC

  dba MMC Anesthesia Group, PC

  • Anesthesiology Physician
  • Oak Ridge, TN
  • NPI 1639148117
  Medicare reassignment Care Compare group NPD
• Lifelinc Anesthesia VIII PLLC

  • Anesthesiology Physician
  • Newport, TN
  • NPI 1679265052

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Resource Anesthesia, P.C.

  • Certified Registered Nurse Anesthetist
  • Lenoir City, TN
  • NPI 1033162045

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Knoxville Gastroenterology Anesthesia Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Knoxville, TN
  • NPI 1356717227

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Lifelinc Anesthesia II, PLLC

  • Anesthesiology Physician
  • Springfield, TN
  • NPI 1821397233

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Pcet Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Knoxville, TN
  • NPI 1225387640
  Medicare reassignment NPD
• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  Nurse Anesthetist, Certified Registered, TN

  Medicare reassignment NPD
• Deaconess Hospital Inc

  • Mental Health Counselor
  • Evansville, IN
  • NPI 1508723552
  NPD
• Deaconess Hospital, Inc

  dba Deaconess Care Group

  • Hospitalist Physician
  • Evansville, IN
  • NPI 1427097443
  NPD
• Deaconess Hospital, Inc

  dba Deaconess Anesthesia Service

  • Anesthesiology Physician
  • Evansville, IN
  • NPI 1629162573

  Nurse Anesthetist, Certified Registered

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cookeville Regional Medical Center

  • General Acute Care Hospital
  • Cookeville, TN
  • NPI 1275531956
  Care Compare affiliation
• Fort Loudoun Medical Center

  • General Acute Care Hospital
  • Lenoir City, TN
  • NPI 1609860659
  Care Compare affiliation

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

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1912083379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5059",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378315059",
            "telephone_number": "919-858-6303",
            "fax_number": "770-237-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 OAK RIDGE TURNPIKE",
            "address_2": "MMC ANESTHESIA PC",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306976",
            "telephone_number": "919-858-6303",
            "fax_number": "770-237-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOERSDORF",
        "first_name": "LUCAS",
        "middle_name": "JOHN",
        "credential": "C.R.N.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-28",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "12486",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "136698",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSURE",
            "identifier": "136698",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Niva Misra Sammons, M.D.
• Sadhana Jayesh Mistry, RPH
• MMC Healthworks LLC
• Mobile Medical Mission PLLC
• Ryan Chris Moellenkamp, PA
• Holly Moler-Krohne, RD
• William L Molony, MD
• Julia A Monahan, DO
• Moncrief Medical Group PLLC
• Kelly Monger

• Certified Registered Nurse Anesthetist in Oak Ridge, TN
• Providers in Oak Ridge, TN by specialty
• Certified Registered Nurse Anesthetist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.