ASHLEY L MOORE CRNA
NPI 1720647357
Nurse Anesthetist, Certified Registered in Bentonville, AR

Q: What is Ashley Moore's NPI number?

The NPI number for Ashley Moore is 1720647357. It was assigned to this individual provider in the NPPES registry on June 7, 2019. The provider is also known as Ashley L Fraka Crna.

Q: What is Ashley Moore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ashley Moore was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.

Active since June 07, 2019Accepts Medicare Assignment

3000 MEDICAL CENTER PKWY, BENTONVILLE, AR 72712(479) 553-1000 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 7, 2023, Feb 6, 2020, Jul 13, 2019 and 1 more (4 updates tracked since 2019).

On this page

About Ashley L Moore Crna NPPES

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

ASHLEY L MOORE CRNA (NPI 1720647357) is an individual nurse anesthetist, certified registered in Bentonville, Arkansas, licensed in Arkansas (123885) and active in the NPI registry since June 2019. She is a graduate of Other (2019).

NPPES Registry Identity

NPI1720647357

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameASHLEY L MOORECredential: CRNA

Location Address3000 MEDICAL CENTER PKWYBentonville, AR 72712-3217

Mailing AddressPo Box 583Lowell, AR 72745-0583 · (888) 991-1101 · Fax (903) 787-5854

Phone(479) 553-1000

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJune 7, 2019

Last NPPES UpdateOctober 30, 20244 updates tracked since enumeration

NPPES CertifiedOctober 30, 2024

✔ NPI 1720647357 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

Licenses✔ Licensed in AR · 123885✔ Licensed in MO · 2019025793

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 Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 2017013795 (MO)

3000 MEDICAL CENTER PKWY, Bentonville, AR 72712

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Other Names 1

Former Name (1)Ashley L Fraka Crna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ashley L 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.

PECOS PAC ID547598476

PECOS Enrollment IDI20200221001582

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72712 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

$119.36 typical visit price

range $51.36 – $157.74

Typical copayment $29.84 (range $12.84 – $39.43)

Most-billed visit code 99204

Established Patient

$64.56 typical visit price

range $16.16 – $128.77

Typical copayment $16.14 (range $4.04 – $32.19)

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.

BENTONVILLE RADIOLOGY CONSULTANTS, PLLC

Radiology (Diagnostic Radiology)