MR. JEFFERY W MOORE CRNA
NPI 1801870480
Nurse Anesthetist, Certified Registered in Tipton, IN

Active since December 06, 2005
1000 S MAIN ST, TIPTON, IN 46072(765) 675-8521(765) 675-8520 Get Directions Write a Review

NPPES record last updated: October 1, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Jeffery W Moore Crna NPPES

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

MR. JEFFERY W MOORE CRNA (NPI 1801870480) is an individual nurse anesthetist, certified registered in Tipton, Indiana, licensed in Indiana (28087122A) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1801870480
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. JEFFERY W MOORECredential: CRNA
Location Address1000 S MAIN STTipton, IN 46072-9753
Mailing Address1000 S Main StTipton, IN 46072-9753 · (765) 675-8521 · Fax (765) 675-8520
Fax(765) 675-8520
Sole ProprietorNo
Enumeration DateDecember 6, 2005
Last NPPES UpdateOctober 1, 2014
NPI 1801870480 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
License Licensed in IN · 28087122A
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 ListedAnesthesiologist AssistantTaxonomy 367H00000X · License 28087122 (IN)
1000 S MAIN ST, Tipton, IN 46072

Other Identifiers 6

Other000000603596IN · Anthem - Tipton Hospital
Medicaid200345230AIN
Medicare ID-Type UnspecifiedCC9210AIN
Medicare UPINL84631
Medicare PIN260220LIN
Medicaid200345230IN

Accepted Insurance

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1000 S MAIN ST
TIPTON, IN 46072
Pathology (Anatomic Pathology & Clinical Pathology)
1000 S MAIN ST
TIPTON, IN 46072
Audiologist
1000 S MAIN ST, TIPTON HOSPITAL, SUITE C
TIPTON, IN 46072
Emergency Medicine
1000 S MAIN ST
TIPTON, IN 46072
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1000 S MAIN ST
TIPTON, IN 46072
Emergency Medicine (Emergency Medical Services)
1000 S MAIN ST
TIPTON, IN 46072
Family Medicine
1000 S MAIN ST
TIPTON, IN 46072
Medicare Defined Swing Bed Unit
1000 S MAIN ST
TIPTON, IN 46072

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801870480, enumerated as an "individual" on December 06, 2005.

The provider is located at 1000 S MAIN ST TIPTON, IN 46072 and the phone number is (765) 675-8521.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: CareSource, Anthem Blue Cross, Medicare and. Please consult your insurance carrier or call the provider to verify.