1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Nurse Anesthetist Certified Registered
  6. NPI Profile

MS. CHARLOTTE ELISE MOULTON CRNA
NPI 1417979675
Nurse Anesthetist, Certified Registered in Portland, OR

Active since July 24, 2006Accepts Medicare Assignment
3181 SW SAM JACKSON PARK RD, MAILCODE UHS-2, PORTLAND, OR 97239(503) 494-4910(503) 494-8368 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Charlotte Elise Moulton Crna NPPES

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

MS. CHARLOTTE ELISE MOULTON CRNA (NPI 1417979675) is an individual nurse anesthetist, certified registered in Portland, Oregon, licensed in Oregon (200660031CRNA) and active in the NPI registry since July 2006. She is a graduate of Other (2006).

NPPES Registry Identity

NPI1417979675
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMS. CHARLOTTE ELISE MOULTONCredential: CRNA
Location Address3181 SW SAM JACKSON PARK RD, MAILCODE UHS-2Portland, OR 97239-3098
Mailing Address8837 Se Taylor StPortland, OR 97216-1738 · (954) 655-2574
Phone(503) 494-4910
Fax(503) 494-8368
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 24, 2006
Last NPPES UpdateOctober 28, 2020
NPPES CertifiedOctober 28, 2020
✔ NPI 1417979675 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 OR · 200660031CRNA
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.
3181 SW SAM JACKSON PARK RD, Portland, OR 97239
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.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

Ms. Charlotte Elise Moulton 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.

PECOS PAC ID5991808438
PECOS Enrollment IDI20170306001782

Medicare Billing Reassignments

2

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

Nmg Southpark Services, LLC
2,293 mi
Nurse Anesthetist, Certified Registered
6035 FAIRVIEW RD
Charlotte, NC 28210
  • Reassigned Medicare billing, North Carolina enrollment
  • 113 clinicians in this Medicare group
NPI 1952690109 (704) 295-3000
East Carolina Anesthesia Associates, PLLC
2,444 mi
Anesthesiology
2100 STANTONSBURG RD
Greenville, NC 27834
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,097 clinicians in this Medicare group
NPI 1205996519 (252) 847-4100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97239 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

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.

DONALD RICHARD SULLIVAN MD
Internal Medicine (Pulmonary Disease)
3181 SW SAM JACKSON PARK RD, UHN67
PORTLAND, OR 97239
Multnomah County (503) 494-6949
MRS. ANJALEE NIX ROWE NP
Nurse Practitioner (Acute Care)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-3988
REEM HASAN MD
Internal Medicine
3181 SW SAM JACKSON PARK RD, PPV 350
PORTLAND, OR 97239
Multnomah County (503) 494-8562
DR. AMANDA D BALL PSY.D
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
SUNSHINE WELSCH LMT
Massage Therapist
3181 SW SAM JACKSON PARK RD, 7D19
PORTLAND, OR 97239
Multnomah County (503) 494-8349
DR. ROBERT GENE MEALER M.D., PH.D.
Psychiatry & Neurology (Psychiatry)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
GREGORY HALL MD
Radiology (Diagnostic Radiology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 418-0990
DR. BURHAN AHMED MIAN MD
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-8311

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 Charlotte Moulton's NPI number?

The NPI number for Charlotte Moulton is 1417979675. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Charlotte Moulton located?

Charlotte Moulton practices at 3181 SW Sam Jackson Park Rd Mailcode Uhs-2, Portland, OR 97239. The listed phone number is (503) 494-4910.

What is Charlotte Moulton's specialty?

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

Is Charlotte Moulton enrolled in Medicare?

Yes. Charlotte Moulton 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 Charlotte Moulton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charlotte Moulton reassigns Medicare benefits to 2 organizations: Nmg Southpark Services, LLC (Charlotte, NC) and East Carolina Anesthesia Associates, PLLC (Greenville, NC). 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 Charlotte Moulton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charlotte Moulton accept?

Health plans from Cigna Healthcare list Charlotte Moulton 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 Charlotte Moulton was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.