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MR. DALE G MOORE C.R.N.A.
NPI 1861436248
Nurse Anesthetist, Certified Registered in Kalamazoo, MI

Active since June 15, 2006
100/100
CMS Quality Rating
125 W WALNUT ST, KALAMAZOO, MI 49007(269) 343-1381(269) 343-6321 Get Directions Write a Review

NPPES record last updated: April 9, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Dale G Moore C.r.n.a. NPPES

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

MR. DALE G MOORE C.R.N.A. (NPI 1861436248) is an individual nurse anesthetist, certified registered in Kalamazoo, Michigan, licensed in Michigan (4704186545) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1861436248
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. DALE G MOORECredential: C.R.N.A.
Location Address125 W WALNUT STKalamazoo, MI 49007-5239
Mailing Address601 John St, Box 42Kalamazoo, MI 49007-5341 · (269) 341-8419 · Fax (269) 341-8743
Phone(269) 343-1381
Fax(269) 343-6321
Sole ProprietorNo
Enumeration DateJune 15, 2006
Last NPPES UpdateApril 9, 2013
✔ NPI 1861436248 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 · 4704186545
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.
125 W WALNUT ST, Kalamazoo, MI 49007
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Other Identifiers 8

Medicare UPINR65933
Other7450527Aetna Pin
Medicare ID-Type Unspecified0N11350001MI
Medicare PIN430058406MI
Other383148262Ein-healthcare Midwest
Other4308757580MI · Railroad Ind Pin
Other430C910670MI · Bcbs Grp Pin
Medicare PINCA3050MI

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

BRONSON AMBULATORY SURGERY CENTER
Clinic/Center (Ambulatory Surgical)
125 W WALNUT ST
KALAMAZOO, MI 49007
Kalamazoo County (269) 343-1381
MR. BLAINE R WILLIAMS C.R.N.A.
Nurse Anesthetist, Certified Registered
125 W WALNUT ST
KALAMAZOO, MI 49007
Kalamazoo County (269) 343-1381
HEALTHCARE MIDWEST PC
Nurse Anesthetist, Certified Registered
125 W WALNUT ST
KALAMAZOO, MI 49007
Kalamazoo County (269) 343-1381
HEALTHCARE MIDWEST PC
Clinic/Center (Ambulatory Surgical)
125 W WALNUT ST
KALAMAZOO, MI 49007
Kalamazoo County (269) 343-1381

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 Dale Moore's NPI number?

The NPI number for Dale Moore is 1861436248. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Dale Moore located?

Dale Moore practices at 125 W Walnut St, Kalamazoo, MI 49007. The listed phone number is (269) 343-1381.

What is Dale Moore's specialty?

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

When was this NPI record last updated?

The NPPES record for Dale Moore was last updated on April 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.