ANDREA CRANE MOLL CRNA
NPI 1730116567
Nurse Anesthetist, Certified Registered in Pontiac, MI

Active since June 27, 2006
44405 WOODWARD AVE, PONTIAC, MI 48341(248) 858-6593 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Andrea Crane Moll Crna NPPES

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

ANDREA CRANE MOLL CRNA (NPI 1730116567) is an individual nurse anesthetist, certified registered in Pontiac, Michigan, licensed in Michigan (4704232911) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1730116567
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameANDREA CRANE MOLLCredential: CRNA
Location Address44405 WOODWARD AVEPontiac, MI 48341-5023
Mailing Address255 W Michigan Ave, Po Box 1123Jackson, MI 49201-2218 · (517) 787-6440 · Fax (517) 787-4146
Sole ProprietorNo
Enumeration DateJune 27, 2006
Last NPPES UpdateJanuary 26, 2022
NPPES CertifiedJanuary 26, 2022
✔ NPI 1730116567 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 MI · 4704232911
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.
44405 WOODWARD AVE, Pontiac, MI 48341

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Crane Moll Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

3

Medicare enrollment records show Andrea Moll reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
5220 HIGHLAND RD, SUITE 100
Waterford, MI 48327
  • Reassigned Medicare billing, Michigan enrollment
  • 49 clinicians in this Medicare group
Anesthesiology
488 EAST SANTA CLARA STREET, SUITE 102
Arcadia, CA 91006
  • Reassigned Medicare billing, California enrollment
  • 72 clinicians in this Medicare group
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 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.

Anesthesiology (Critical Care Medicine)
44405 WOODWARD AVE
PONTIAC, MI 48341
General Acute Care Hospital
44405 WOODWARD AVE
PONTIAC, MI 48341
Advanced Practice Midwife
44405 WOODWARD AVE
PONTIAC, MI 48341
Student in an Organized Health Care Education/Training Program
44405 WOODWARD AVE
PONTIAC, MI 48341
Internal Medicine (Critical Care Medicine)
44405 WOODWARD AVE
PONTIAC, MI 48341
Dentist
44405 WOODWARD AVE
PONTIAC, MI 48341
Surgery
44405 WOODWARD AVE
PONTIAC, MI 48341
Radiology (Diagnostic Radiology)
44405 WOODWARD AVE
PONTIAC, MI 48341

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 Andrea Moll's NPI number?

The NPI number for Andrea Moll is 1730116567. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Andrea Moll located?

Andrea Moll practices at 44405 Woodward Ave, Pontiac, MI 48341. The listed phone number is (248) 858-6593.

What is Andrea Moll's specialty?

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

Is Andrea Moll enrolled in Medicare?

Yes. Andrea Moll is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Andrea Moll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Moll reassigns Medicare benefits to 3 organizations: Waterford Anesthesia, PLLC (Waterford, MI), Amsurg Arcadia Anesthesia LP (Arcadia, CA) and Permanente Medical Group Inc (Stockton, CA). 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 Andrea Moll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andrea Moll was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.