Nicole Kay Moore
NPI 1720430580ActiveIndividual· Nurse Anesthetist, Certified Registered· Lanham, MD
Nurse Anesthetist, Certified Registered with Anesthesia Company LLC and 2 other groups, practicing in Lanham, Maryland. Medicare paid $12,838 for services to 68 patients in 2024. Lists Calverthealth Medical Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1720430580 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 5, 2016 |
| Last updated in NPPES | Feb 8, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | R224991 | MD |
| Student in an Organized Health Care Education/Training Program | 390200000X | RN.331366 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (DC); Practitioner - Certified Registered Nurse Anesthetist (CRNA) (MD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 68 |
|---|---|
| Services billed | 68 across 27 procedure codes |
| Paid by Medicare | $12,838 |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- Anesthesia Company LLCPrince Frederick, MD · 378 clinicians
- First Colonies Anesthesia Associates, LLCNottingham, MD · 326 clinicians
- Capital Anesthesia Partners, LLCChevy Chase, MD · 13 clinicians
Hospital affiliations
- Calverthealth Medical CenterPrince Frederick, MD
- Luminis Health Doctors Community Medical Ctr, IncLanham, MD
- University of MD Capital Region Medical CenterUpper Marlboro, MD
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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