Active NPI
Ekaterina Alexandra Mould, CRNA
- Certified Registered Nurse Anesthetist
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN.CRNA.019431
- Practice address
- 111 S Grant Ave FL 3
Columbus, OH 43215-4701 - Phone
- (614) 566-9871
- NPI assigned
- Feb 2, 2017
- 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 | 316912 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN.CRNA.019431 | OH | Primary |
Addresses
Primary practice location
111 S Grant Ave FL 3
Columbus, OH 43215-4701
Mailing address
PO Box 7527
Dublin, OH 43017-0727
Phone (419) 520-2495
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0205396 | Medicaid | OH |
Other names 1
- Yekaterina Aleksandrovna Dreyzin
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | emould805481@direct.ohiohealth.com | OhioHealth Corporation |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, NC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 S Grant Ave
FL 3
Columbus, OH 43215-4701
Phone (614) 566-9871
Hospital & facility affiliations
- Grant Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.04 of 100
- Quality
- 58.67
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CRNA.019431 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohiohealth Corporation | Current | Accepting new patients | |
| Ohiohealth Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
111 S Grant Ave
Fl 3
Columbus, OH 43215
Phone (614) 566-9871
Dept L3652
Columbus, OH 43260
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Columbus, OH
- NPI 1578545273
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1407292105
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1255377149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658793600000",
"number": "1922546639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7527",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430170727",
"telephone_number": "419-520-2495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S GRANT AVE FL 3",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432154701",
"telephone_number": "614-566-9871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOULD",
"first_name": "EKATERINA",
"middle_name": "ALEXANDRA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-02",
"last_updated": "2022-07-26",
"certification_date": "2022-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "316912",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "APRN.CRNA.019431",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0205396",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "emould805481@direct.ohiohealth.com",
"affiliation": "Y",
"affiliationName": "OhioHealth Corporation",
"address_1": "111 S Grant Ave Fl 3",
"city": "Columbus",
"state": "OH",
"country_code": "US",
"postal_code": "432154701",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "YEKATERINA",
"last_name": "DREYZIN",
"middle_name": "ALEKSANDROVNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.