MEAGAN NICOLE MOORE CRNA
NPI 1104418078
Nurse Anesthetist, Certified Registered in Bowling Green, KY

Q: What is Meagan Moore's NPI number?

The NPI number for Meagan Moore is 1104418078. It was assigned to this individual provider in the NPPES registry on February 10, 2021.

Q: What is Meagan Moore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Meagan Moore was last updated on February 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 10, 2021PECOS EnrolledAccepts Medicare Assignment

250 PARK ST, BOWLING GREEN, KY 42101(270) 745-1000 Get Directions Write a Review

NPPES record last updated: February 10, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Meagan Nicole Moore Crna NPPES

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

MEAGAN NICOLE MOORE CRNA (NPI 1104418078) is an individual nurse anesthetist, certified registered in Bowling Green, Kentucky, licensed in Kentucky (3015758) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, is affiliated with Jennie Stuart Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1104418078

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameMEAGAN NICOLE MOORECredential: CRNA

Location Address250 PARK STBowling Green, KY 42101-1760

Mailing Address1015 Webb RdClarksville, TN 37040-5409

Phone(270) 745-1000

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateFebruary 10, 2021

NPPES CertifiedFebruary 10, 2021

✔ NPI 1104418078 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 KY · 3015758

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.

250 PARK ST, Bowling Green, KY 42101

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Meagan Nicole 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 ID547677452

PECOS Enrollment IDI20210319002021

Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Meagan Moore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Commonwealth Health Corporation, Inc

0.1 mi

Family

350 PARK ST STE 106
Bowling Green, KY 42101

Reassigned Medicare billing, Kentucky enrollment
319 clinicians in this Medicare group

NPI 1215521802 (270) 721-7265

Jennie Stuart Medical Center Inc

42 mi

Rural Health

713 W MAIN ST
Elkton, KY 42220

Reassigned Medicare billing, Kentucky enrollment
169 clinicians in this Medicare group

NPI 1225975824 (270) 265-5353

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Jennie Stuart Medical Center

Acute Care Hospitals · Hopkinsville, KY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180051

Location320 West 18th StreetHopkinsville, KY 42240 · Christian County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42101 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

CHRISTIAN MICHAEL KRANZ CRNA

Nurse Anesthetist, Certified Registered