Matthew Michael Moore, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

0024171408 Issued in VA

Practice address

17 Slocum Meadow LN
Shrewsbury, MA 01545-1854

Phone

(508) 277-8365

NPI assigned

Jan 3, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA, NH2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

Henry Heywood Memorial HospitalGroup PAC ID 1658262605, 116 clinicians

Tri Anesthesia LLCGroup PAC ID 2062931215, 38 clinicians

Lawrence Anesthesia Services LLCGroup PAC ID 4082770136, 127 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Umass Memorial Healthalliance Hospitals Hospital, Leominster, MA, CCN 220001
• Heywood Hospital - Hospital, Gardner, MA, CCN 220095
• Umass Memorial Medical Center/University Campus Hospital, Worcester, MA, CCN 220163

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as apm

Quality

82.98

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Henry Heywood Memorial Hospital

  • General Acute Care Hospital
  • Gardner, MA
  • NPI 1205823879
  Medicare reassignment Care Compare group NPD
• Lawrence Anesthesia Services, LLC

  • Anesthesiology Physician
  • Lawrence, MA
  • NPI 1467699918

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Tri Anesthesia LLC

  • Anesthesiology Physician
  • Worcester, MA
  • NPI 1275331761
  Medicare reassignment Care Compare group NPD
• Umass Memorial Medical Group Inc

  • Internal Medicine Physician
  • Worcester, MA
  • NPI 1760445373
  Medicare reassignment Care Compare group
• Icon Anesthesia Services of New England LLC

  • Anesthesiology Physician
  • Middleton, MA
  • NPI 1629583323
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of New York - Patchogue PC

  • Anesthesiology Physician
  • Patchogue, NY
  • NPI 1366920993

  NH

  Medicare reassignment NPD
• JJM Medical Services, PC

  • Anesthesiology Physician
  • Waltham, MA
  • NPI 1952548265
  Medicare reassignment
• Henry Heywood Memorial Hospital

  • Psychiatric Hospital Unit
  • Gardner, MA
  • NPI 1457685299
  NPD

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

• Henry Heywood Memorial Hospital

  • General Acute Care Hospital
  • Gardner, MA
  • NPI 1205823879
  Care Compare affiliation
• Heywood Medical Group Inc.

  • General Practice Physician
  • Gardner, MA
  • NPI 1699762286

  Hospital

  Care Compare affiliation
• Umass Memorial Healthalliance Clinton Hospital Inc

  • General Acute Care Hospital
  • Leominster, MA
  • NPI 1013995133
  Care Compare affiliation
• Umass Memorial Healthalliance Clinton Hospital Inc

  • Psychiatric Hospital Unit
  • Clinton, MA
  • NPI 1285171934
  Care Compare affiliation
• Umass Memorial Medical Center, Inc.

  • General Acute Care Hospital
  • Worcester, MA
  • NPI 1831151455
  Care Compare affiliation

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719100800000",
    "number": "1962823229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 SLOCUM MEADOW LN",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015451854",
            "telephone_number": "508-277-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 SLOCUM MEADOW LN",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015451854",
            "telephone_number": "508-277-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MATTHEW",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-03",
        "last_updated": "2024-06-23",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001236898",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "RN2336114",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024171408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110163071A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jane A. Molinari, M.D.
• Ann Monahan
• Danielle N Moncrieffe, MD
• John Monroe
• Stephanie Montano, BCBA
• Manal Morcos
• Margaret Louise Morris, MS OTR/L
• Nancy L. Morse-Bey, MA
• Christopher Moses
• Rey Daniel Mota, DMD

• Certified Registered Nurse Anesthetist in Shrewsbury, MA
• Providers in Shrewsbury, MA by specialty
• Certified Registered Nurse Anesthetist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.