MR. DAVID MOODY CRNA
NPI 1295194280
Nurse Anesthetist, Certified Registered in Escanaba, MI

Active since February 18, 2016
3401 LUDINGTON ST, ESCANABA, MI 49829(906) 786-5707 Get Directions Write a Review

NPPES record last updated: September 17, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 17, 2019, May 16, 2016, Feb 18, 2016 (3 updates tracked since 2016).

About Mr. David Moody Crna NPPES

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

MR. DAVID MOODY CRNA (NPI 1295194280) is an individual nurse anesthetist, certified registered in Escanaba, Michigan, licensed in Michigan (4704134919) and active in the NPI registry since February 2016. He maintains a secondary practice location in Gaylord.

NPPES Registry Identity

NPI1295194280
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. DAVID MOODYCredential: CRNA
Location Address3401 LUDINGTON STEscanaba, MI 49829-1300
Mailing Address825 N Center AveGaylord, MI 49735-1592
Sole ProprietorNo
Enumeration DateFebruary 18, 2016
Last NPPES UpdateSeptember 17, 20193 updates tracked since enumeration
✔ NPI 1295194280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MI · 4704134919
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704134919 (MI)
3401 LUDINGTON ST, Escanaba, MI 49829

Secondary Practice Location 1

Location 1825 N Center AveGaylord, MI 49735-1592 · Phone (231) 731-2100

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. David Moody Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

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

Critical Access
1140 N STATE ST
Saint Ignace, MI 49781
  • Reassigned Medicare billing, Michigan enrollment
  • Also billed through NPI 1659536035 (Michigan)
  • 60 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
825 N CENTER AVE
Gaylord, MI 49735
  • Reassigned Medicare billing, Michigan enrollment
  • 63 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.

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.

Emergency Medicine
3401 LUDINGTON ST
ESCANABA, MI 49829
Emergency Medicine
3401 LUDINGTON ST
ESCANABA, MI 49829
Emergency Medicine
3401 LUDINGTON ST
ESCANABA, MI 49829
Pathology (Anatomic Pathology & Clinical Pathology)
3401 LUDINGTON ST
ESCANABA, MI 49829
Nurse Anesthetist, Certified Registered
3401 LUDINGTON ST
ESCANABA, MI 49829
Registered Nurse (Emergency)
3401 LUDINGTON ST
ESCANABA, MI 49829
Psychiatry & Neurology (Neurology)
3401 LUDINGTON ST
ESCANABA, MI 49829
Nurse Practitioner (Family)
3401 LUDINGTON ST
ESCANABA, MI 49829

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 David Moody's NPI number?

The NPI number for David Moody is 1295194280. It was assigned to this individual provider in the NPPES registry on February 18, 2016.

Where is David Moody located?

David Moody practices at 3401 Ludington St, Escanaba, MI 49829. The listed phone number is (906) 786-5707.

What is David Moody's specialty?

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

Is David Moody enrolled in Medicare?

Yes. David Moody is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for David Moody's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Moody reassigns Medicare benefits to 2 organizations: Mackinac Straits Health System Inc (Saint Ignace, MI) and Munson Healthcare Otsego Memorial Hospital (Gaylord, MI). Each 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 David Moody's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Moody accept?

Health plans from Priority Health list David Moody as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Moody was last updated on September 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.