NICOLE MOFFITT C.R.N.A.
NPI 1154839363
Nurse Anesthetist, Certified Registered in Columbia, MO

Q: What is Nicole Moffitt's NPI number?

The NPI number for Nicole Moffitt is 1154839363. It was assigned to this individual provider in the NPPES registry on January 22, 2018.

Q: What is Nicole Moffitt'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 Nicole Moffitt was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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 January 22, 2018Accepts Medicare Assignment

100/100

CMS Quality Rating

1 HOSPITAL DR, COLUMBIA, MO 65212(573) 882-2568(573) 882-2226 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 8, 2024, Aug 16, 2022, Nov 12, 2018 (3 updates tracked since 2018).

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About Nicole Moffitt C.r.n.a. NPPES

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

NICOLE MOFFITT C.R.N.A. (NPI 1154839363) is an individual nurse anesthetist, certified registered in Columbia, Missouri, licensed in Missouri (2018011769) and active in the NPI registry since January 2018. She is affiliated with Ssm St Joseph Hospital West and is a graduate of Other (2018).

NPPES Registry Identity

NPI1154839363

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameNICOLE MOFFITTCredential: C.R.N.A.

Location Address1 HOSPITAL DRColumbia, MO 65212-0001

Mailing AddressPo Box 843966Kansas City, MO 64184-3966 · (573) 884-3300 · Fax (573) 884-0943

Phone(573) 882-2568

Fax(573) 882-2226

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJanuary 22, 2018

Last NPPES UpdateNovember 8, 20243 updates tracked since enumeration

NPPES CertifiedOctober 29, 2024

✔ NPI 1154839363 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 · 2018011769

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.

1 HOSPITAL DR, Columbia, MO 65212

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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

Nicole Moffitt C.r.n.a. 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 ID6103181433

PECOS Enrollment IDI20180607000691

Medicare Billing Reassignments

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

The Curators Of The University Of Missouri

Same address

Multi-Specialty

1 HOSPITAL DR
Columbia, MO 65212

Reassigned Medicare billing, Missouri enrollment
1,395 clinicians in this Medicare group

NPI 1235126921 (573) 882-4141

Metro-West Anesthesia Group Inc

100 mi

Anesthesiology

400 S WOODS MILL RD, STE 140
Chesterfield, MO 63017

Reassigned Medicare billing, Missouri enrollment
221 clinicians in this Medicare group

NPI 1245427335 (314) 485-1101

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.

Ssm St Joseph Hospital West

Acute Care Hospitals · Lake Saint Louis, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260200

Location100 Medical PlazaLake Saint Louis, MO 63367 · St. Charles County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65212 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

$121.96 typical visit price

range $52.28 – $161.24

Typical copayment $30.49 (range $13.07 – $40.31)

Most-billed visit code 99204

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

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.

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