DIANE MARIE MOORE CRNA
NPI 1275507816
Nurse Anesthetist, Certified Registered in Flint, MI
About Diane Marie Moore Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIANE MARIE MOORE CRNA (NPI 1275507816) is an individual nurse anesthetist, certified registered in Flint, Michigan, licensed in Michigan (4704154335) and active in the NPI registry since February 2006. She is affiliated with Mclaren Flint and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
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
Diane Marie 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.
Medicare Billing Reassignment
Medicare enrollment records show Diane Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Flint, MI 48532
- Reassigned Medicare billing, Michigan enrollment
- 33 clinicians in this Medicare group
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.
Mclaren Flint
Acute Care Hospitals · Flint, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48532 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FLINT, MI 48532
FLINT, MI 48532
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 Diane Moore's NPI number?
The NPI number for Diane Moore is 1275507816. It was assigned to this individual provider in the NPPES registry on February 13, 2006.
Where is Diane Moore located?
Diane Moore practices at 401 S Ballenger Hwy Attn Surgical Services, Flint, MI 48532. The listed phone number is (810) 342-4917.
What is Diane Moore's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Diane Moore enrolled in Medicare?
Yes. Diane 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.
Which organization bills Medicare for Diane Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Diane Moore reassigns Medicare benefits to Mclaren Flint (Flint, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Diane Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Diane Moore affiliated with any hospitals?
According to CMS data, Diane Moore is affiliated with Mclaren Flint.
When was this NPI record last updated?
The NPPES record for Diane Moore was last updated on December 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Diane Marie Moore, CRNA · NPI 1275507816
Nurse Anesthetist, Certified Registered physician in Flint, Michigan. Individual provider, active in the CMS NPPES registry since February 13, 2006.
## Identity
- **NPI:** 1275507816 (Entity type: Individual)
- **Enumerated:** February 13, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 4704154335 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 401 S BALLENGER HWY, ATTN SURGICAL SERVICES, Flint, MI 48532-3638
- **Phone:** (810) 342-4917 · **Fax:** (810) 342-1335
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Mclaren Flint (NPI 1346373339, Flint, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** December 11, 2014
- **Other identifiers:** Other P00002289 (MI); Other DM154335 (MI); Medicare ID-Type Unspecified 0B56248057 (MI); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1275507816) · Data from the CMS NPPES public registry.