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

Q: What is Jeffery Moore's NPI number?

The NPI number for Jeffery Moore is 1801870480. It was assigned to this individual provider in the NPPES registry on December 6, 2005.

Q: What is Jeffery 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 Jeffery Moore was last updated on October 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

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: August 16, 2026.

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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

Phone(765) 675-8521

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

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Other Identifiers 6

Other000000603596IN · Anthem - Tipton Hospital

Medicaid200345230AIN

Medicare ID-Type UnspecifiedCC9210AIN

Medicare UPINL84631

Medicare PIN260220LIN

Medicaid200345230IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Other Providers at the Same Location NPPES 16

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

INDIANA UNIVERSITY HEALTH TIPTON HOSPITAL INC

Emergency Medicine (Emergency Medical Services)