MARY R MOORE CRNA
NPI 1376642173
Nurse Anesthetist, Certified Registered in Bangor, ME
About Mary R Moore Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY R MOORE CRNA (NPI 1376642173) is an individual nurse anesthetist, certified registered in Bangor, Maine, licensed in Maine (034710) and active in the NPI registry since September 2006. She is affiliated with Adventhealth Ocala and is a graduate of Other (1993).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
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
Mary R 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 Reassignments
6Medicare enrollment records show Mary Moore reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Palm Coast, FL 32164
- Reassigned Medicare billing, Florida enrollment
- 1,973 clinicians in this Medicare group
Gainesville, FL 32610
- Reassigned Medicare billing, Florida enrollment
- 3,324 clinicians in this Medicare group
Lady Lake, FL 32159
- Reassigned Medicare billing, Florida enrollment
- 230 clinicians in this Medicare group
Oxford, FL 34484
- Reassigned Medicare billing, Florida enrollment
- 92 clinicians in this Medicare group
Pensacola, FL 32502
- Reassigned Medicare billing, Florida enrollment
- 768 clinicians in this Medicare group
Pensacola, FL 32502
- Reassigned Medicare billing, Florida enrollment
- 81 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.
Adventhealth Ocala
Acute Care Hospitals · Ocala, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04401 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.
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 Mary Moore's NPI number?
The NPI number for Mary Moore is 1376642173. It was assigned to this individual provider in the NPPES registry on September 21, 2006.
Where is Mary Moore located?
Mary Moore practices at 489 State St C/O Emmc, Bangor, ME 04401. The listed phone number is (207) 973-4519.
What is Mary Moore's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Mary Moore enrolled in Medicare?
Yes. Mary 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 organizations bill Medicare for Mary Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Moore reassigns Medicare benefits to 6 organizations: Sheridan Healthcorp Inc (Palm Coast, FL), Florida Clinical Practice Association Inc (Gainesville, FL), St. Lucie Anesthesia Associates, LLC (Lady Lake, FL), Solace Anesthesia, LLC (Oxford, FL), Ams National LLC (Pensacola, FL) and 1 more organization, listed in the Medicare section above. 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 Mary Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Moore accept?
Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Mary Moore 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.
Is Mary Moore affiliated with any hospitals?
According to CMS data, Mary Moore is affiliated with Adventhealth Ocala.
When was this NPI record last updated?
The NPPES record for Mary Moore was last updated on March 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Mary R Moore, CRNA · NPI 1376642173
Nurse Anesthetist, Certified Registered physician in Bangor, Maine. Individual provider, active in the CMS NPPES registry since September 21, 2006.
## Identity
- **NPI:** 1376642173 (Entity type: Individual)
- **Enumerated:** September 21, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 034710 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 489 STATE ST, C/O EMMC, Bangor, ME 04401-6616
- **Phone:** (207) 973-4519 · **Fax:** (207) 992-4132
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Sheridan Healthcorp Inc (NPI 1316519903, Palm Coast, FL); Florida Clinical Practice Association Inc (NPI 1063463768, Gainesville, FL); St. Lucie Anesthesia Associates, LLC (NPI 1821660523, Lady Lake, FL); Solace Anesthesia, LLC (NPI 1962046151, Oxford, FL); Ams National LLC (NPI 1316330830, Pensacola, FL); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1993
## Record status
- **NPPES last updated:** March 6, 2013
- **Other identifiers:** Medicare ID-Type Unspecified MM5253 (ME)
---
Source: [NPI Profile](https://npiprofile.com/npi/1376642173) · Data from the CMS NPPES public registry.