STEPHANIE K MOORE CRNA
NPI 1275915613
Nurse Anesthetist, Certified Registered in College Station, TX

NPI Status: Active since June 22, 2015

Contact Information

700 SCOTT AND WHITE DR
COLLEGE STATION, TX
ZIP 77845
Phone: (979) 207-0100
Fax: (979) 207-2161

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  • Individual
  • Female
  • Years of Experience 11
  • Nurse Anesthetist, Certified Registered
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About STEPHANIE MOORE

This page provides the complete NPI Profile along with additional information for Stephanie Moore, a provider established in College Station, Texas with a medical specialization in Nurse Anesthetist, Certified Registered and more than 11 years of experience. The healthcare provider is registered in the NPI registry with number 1275915613 assigned on June 2015. The practitioner's primary taxonomy code is 367500000X with license number 20440 (TN). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1275915613
Provider Name
STEPHANIE K MOORE CRNA
Gender
Female
Entity Type
Individual
Location Address
700 SCOTT AND WHITE DR COLLEGE STATION, TX 77845
Location Phone
(979) 207-0100
Location Fax
(979) 207-2161
Mailing Address
PO BOX 844658 DALLAS, TX 75284
Medical School Name
OTHER
Graduation Year
2015
Is Sole Proprietor?
No
Enumeration Date
06-22-2015
Last Update Date
01-25-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
20440
License State
TN
Taxonomy Description
(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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1367500000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Anesthetist, Certified Registered

82880 (TX)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) - HMO
  • BSW Elite Gold HMO 012 - HMO
  • BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) - HMO
  • BSW Prime Silver HMO 005 - HMO
  • BSW Savers Bronze HMO H S A 006 - HMO
  • BSW Vital Bronze HMO 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Vital Bronze HMO 009 (One free PCP visit, $0 Pediatric PCP visit) - HMO
  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Stephanie Moore is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 6103136312

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20170307000707

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $31.6 for a new patient copayment and $17.13 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 77845 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $126.4
  • Minimum New Patient Price $54.84
  • Maximum New Patient Price $166.88
  • Average New Patient Copayment $31.6
  • Minimum New Patient Copayment $13.71
  • Maximum New Patient Copayment $41.72

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $68.55
  • Minimum Established Patient Price $17.52
  • Maximum Established Patient Price $136.11
  • Average Established Patient Copayment $17.13
  • Minimum Established Patient Copayment $4.38
  • Maximum Established Patient Copayment $34.02

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Stephanie Moore is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
BAYLOR SCOTT & WHITE MEDICAL CENTER- COLLEGE STATI700 SCOTT & WHITE DRIVE
COLLEGE STATION, TX 77845
(979) 691-3701Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1275915613
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221451811062
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 8 + 1 + 1 + 0 + 6 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1275915613 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

KATHERINE DAUGHERTY SLP

Speech-Language Pathologist

700 SCOTT AND WHITE DR
COLLEGE STATION, TX
ZIP 77845

(979) 691-3615

EDWARD D SCHMIDT CRNA

Nurse Anesthetist, Certified Registered

700 SCOTT AND WHITE DR
COLLEGE STATION, TX
ZIP 77845

(979) 691-3300

DR. CHET DEAN SCHRADER MD

Emergency Medicine

700 SCOTT AND WHITE DR
COLLEGE STATION, TX
ZIP 77845

(979) 207-0100

MAXIMILLIAN ZUGAJ MOT, OTR

Occupational Therapist

700 SCOTT AND WHITE DR
COLLEGE STATION, TX
ZIP 77845

(979) 207-0100

DAVID WALKER PHILLIPS CRNA

Nurse Anesthetist, Certified Registered

700 SCOTT AND WHITE DR
COLLEGE STATION, TX
ZIP 77845

(979) 207-0100

MISS MICHELLE MONCATAR ESPIRITU-CAMATO PT

Physical Therapist

700 SCOTT AND WHITE DR
COLLEGE STATION, TX
ZIP 77845

(979) 207-0100

MRS. KRYSTAL MARIE KAZMIERSKI DPT

Physical Therapist

700 SCOTT AND WHITE DR
COLLEGE STATION, TX
ZIP 77845

(979) 207-0100

CHADWICK T. JOHNSON ACNP

Nurse Practitioner

(Acute Care)

700 SCOTT AND WHITE DR
COLLEGE STATION, TX
ZIP 77845

(979) 207-0100

MR. DODD GEORGE LANGE FNP

Nurse Practitioner

(Family)

700 SCOTT AND WHITE DR
COLLEGE STATION, TX
ZIP 77845

(979) 207-0100

DR. JOSEPH YOUNG II DO

Emergency Medicine

700 SCOTT AND WHITE DR
COLLEGE STATION, TX
ZIP 77845

(972) 207-0100

JASON DAVID JENNINGS PT

Physical Therapist

(Electrophysiology, Clinical)

700 SCOTT AND WHITE DR
COLLEGE STATION, TX
ZIP 77845

(979) 207-0100

SHANNON LLOYD RD, LD

Dietitian, Registered

700 SCOTT AND WHITE DR
COLLEGE STATION, TX
ZIP 77845

(979) 207-0137

MR. STEVEN CHRISTIAN PIWONKA

Nurse Anesthetist, Certified Registered

700 SCOTT AND WHITE DR
COLLEGE STATION, TX
ZIP 77845

(979) 207-0100

DARRAGH ELIZABETTA FERTITTA MS, CCC-SLP

Speech-Language Pathologist

700 SCOTT AND WHITE DR
COLLEGE STATION, TX
ZIP 77845

(979) 207-0100

MRS. FARANAZ MAJID VELANI HOODANI NP

Nurse Practitioner

(Family)

700 SCOTT AND WHITE DR
COLLEGE STATION, TX
ZIP 77845

(979) 207-0100

SARAH J ORTIZ FNP-C

Nurse Practitioner

(Family)

700 SCOTT AND WHITE DR
COLLEGE STATION, TX
ZIP 77845

(979) 207-0100

JEFFREY BARRETT MOORE DNP

Nurse Anesthetist, Certified Registered

700 SCOTT AND WHITE DR
COLLEGE STATION, TX
ZIP 77845

(979) 207-0100

DR. MONIKA MISHRA M.D.

Psychiatry & Neurology

(Neurology)

700 SCOTT AND WHITE DR
COLLEGE STATION, TX
ZIP 77845

(979) 207-0100

KELLY HOLLEY GRILLO MD

Internal Medicine

700 SCOTT AND WHITE DR
COLLEGE STATION, TX
ZIP 77845

(979) 207-0100

DOUGLAS I LAIRD PA-C

Physician Assistant

700 SCOTT AND WHITE DR
COLLEGE STATION, TX
ZIP 77845

(979) 207-0100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275915613, enumerated as an "individual" on June 22, 2015.

The provider is located at 700 SCOTT AND WHITE DR COLLEGE STATION, TX 77845 and the phone number is (979) 207-0100.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Baylor Scott and White Health Plan and Blue Cross. Please consult your insurance carrier or call the provider to verify.

Stephanie Moore is affiliated with: BAYLOR SCOTT & WHITE MEDICAL CENTER- COLLEGE STATI.