VIRGINIA N MOURAS CRNA NPI 1770552697

Nurse Anesthetist, Certified Registered in Tok, AK

Individual Female Nurse Anesthetist, Certified Registered Accepts Medicare Years Experience 34

About VIRGINIA MOURAS

Virginia Mouras is a provider established in Tok, Alaska and her medical specialization is nurse anesthetist, certified registered with more than 34 years of experience. The NPI number of Virginia Mouras is 1770552697 and was assigned on March 2006. The practitioner's primary taxonomy code is 367500000X with license number 55129 (KS). The provider is registered as an individual and her NPI record was last updated 12 years ago. Virginia Mouras is registered with Medicare and accepts claims assignment. According to Medicare claims data the provider has hospital affiliations with Eastern Maine Medical Center.

NPI

1770552697

Provider Name VIRGINIA N MOURAS CRNA
Provider Location AddressCORNER BOREALIS AND EAST D STREET TOK, AK 99780
Provider Mailing AddressPO BOX 314 TOK, AK 99780
GenderFemale
NPI Entity TypeIndividual
Medical School NameMEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE
Graduation Year1986
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date03-14-2006
Last Update Date03-18-2008

Primary Taxonomy

Taxonomy Code367500000X
ClassificationNurse Anesthetist, Certified Registered
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.55129
License StateKS
Taxonomy Description(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.

Business Address

VIRGINIA N MOURAS CRNA
CORNER BOREALIS AND EAST D STREET
TOK, AK
ZIP 99780
Phone: (907) 883-9839
Fax: (907) 883-9839

Get Directions

Mailing Address

VIRGINIA N MOURAS CRNA
PO BOX 314
TOK, AK
ZIP 99780
Phone: (907) 883-9839
Fax: (907) 883-9839

Medicare Participation

PECOS PAC ID9133033525
PECOS Enrollment IDI20160523000649
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affilition the clinician must have provided services to at least three patients on three different dates in the last 12 months.

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN)
EASTERN MAINE MEDICAL CENTERPO BOX 404
BANGOR, ME 4401
Acute Care Hospitals200033

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
S97593MEDICARE UPIN (02)KS
144923MEDICARE PIN (08)KS
144923OTHER (01)KS
P00056232OTHER (01)KS

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.