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JEREMY MOORE CRNA
NPI 1003425117
Nurse Anesthetist, Certified Registered in Camp Lejeune, NC

Active since July 24, 2020Accepts Medicare Assignment
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547(910) 450-4357 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 28, 2023, Dec 30, 2021, Jul 24, 2020 (3 updates tracked since 2020).

About Jeremy Moore Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMY MOORE CRNA (NPI 1003425117) is an individual nurse anesthetist, certified registered in Camp Lejeune, North Carolina, licensed in Missouri (127595) and active in the NPI registry since July 2020. He is affiliated with Carolina East Medical Center, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1003425117
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJEREMY MOORECredential: CRNA
Location Address100 BREWSTER BLVDCamp Lejeune, NC 28547-2575
Mailing AddressPsc 561 Box 1877Fpo, AP 96310-0019
Phone(910) 450-4357
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 24, 2020
Last NPPES UpdateOctober 20, 20253 updates tracked since enumeration
NPPES CertifiedOctober 20, 2025
✔ NPI 1003425117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MO · 127595
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
100 BREWSTER BLVD, Camp Lejeune, NC 28547
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12000 NEUSE BLVDNEW BERN, NC 28560-3449 · Phone (252) 633-8640 · Fax (252) 636-5376
Location 2USNMRTU Iwakuni BLDG 110 MCAS Iwakuni, 1 Misumi MachiIwakuni, Yamaguchi 74002 · Phone (816) 738-9389

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeremy Moore Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224446190
PECOS Enrollment IDI20250128004355

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carolina East Medical Center

Acute Care Hospitals · New Bern, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340131
Location2000 Neuse BlvdNew Bern, NC 28560 · Craven County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28547 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JUSTIN THOMAS DAUGHTRY D.O.
Emergency Medicine
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4841
MR. JASON HUSON GIECKO
Military Health Care Provider (Independent Duty Corpsman)
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 451-5125
MRS. HOLLY F CARTER LPT
Physical Therapist
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 449-2538
DANIELLE BERNAL MD
Surgery
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4860
ZAINAB AL CHALABI SAVARD APRN
Nurse Practitioner (Adult Health)
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 449-2779
SAMANTHA ELIZABETH KING MD
Student in an Organized Health Care Education/Training Program
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4408
MATTHEW PATRICK SULLIVAN MD
Emergency Medicine
100 BREWSTER BLVD, NAVAL HOSPITAL
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4159
HANNAH JUNE MCCLOUD ATC, PTA
Specialist/Technologist (Athletic Trainer)
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 449-8901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Moore's NPI number?

The NPI number for Jeremy Moore is 1003425117. It was assigned to this individual provider in the NPPES registry on July 24, 2020.

Where is Jeremy Moore located?

Jeremy Moore practices at 100 Brewster Blvd, Camp Lejeune, NC 28547. The listed phone number is (910) 450-4357.

What is Jeremy Moore's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Jeremy Moore enrolled in Medicare?

Yes. Jeremy Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jeremy Moore affiliated with any hospitals?

According to CMS data, Jeremy Moore is affiliated with Carolina East Medical Center.

When was this NPI record last updated?

The NPPES record for Jeremy Moore was last updated on October 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.