Nicholas Moore, - Medicare Certified Registered Nurse Anesthetist (crna) in Tempe, AZ

Nicholas Moore, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tempe, Arizona. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Greater Anesthesia Solutions and his current practice location is 1500 S Mill Ave, Tempe, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 784-5500.

Nicholas Moore is licensed to practice in Arizona (license number 246503) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013550383.

Contact Information

Nicholas Moore,
1500 S Mill Ave,
Tempe, AZ 85281-6699
(480) 784-5500
Not Available

Map and Direction




Provider's Profile

Full NameNicholas Moore
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience5 Years
Location1500 S Mill Ave, Tempe, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicholas Moore graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1013550383
  • Provider Enumeration Date: 10/19/2019
  • Last Update Date: 10/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3173959921
  • Enrollment ID: I20210524002381

Medical Identifiers

Medical identifiers for Nicholas Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013550383NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered NA95001207 (California)Secondary
367500000XNurse Anesthetist, Certified Registered 834330 (Nevada)Secondary
367500000XNurse Anesthetist, Certified Registered 246503 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's Medical CenterPhoenix, AZHospital
Abrazo West CampusGoodyear, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Greater Anesthesia Solutions9234357906155

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicholas Moore allows following entities to bill medicare on his behalf.
Entity NameGreater Anesthesia Solutions
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124430244
PECOS PAC ID: 9234357906
Enrollment ID: O20140822000525

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicholas Moore is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicholas Moore,
912 Granger Farm Way,
Las Vegas, NV 89145-8618

Ph: (808) 387-4316
Nicholas Moore,
1500 S Mill Ave,
Tempe, AZ 85281-6699

Ph: (480) 784-5500

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Tempe, AZ

Mr. Charles David Laine, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1500 S Mill Ave, Tempe, AZ 85281
Phone: 480-784-5500    
Landon Craig Hitchcock,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1500 S Mill Ave, Tempe, AZ 85281
Phone: 435-660-9736    
John Durkin,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2000 E Southern Ave Ste 105, Tempe, AZ 85282
Phone: 480-820-9141    
Angela L Fountain, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 6433 S Clark Dr, Tempe, AZ 85283
Phone: 480-414-1295    
Mrs. Bridget Nester Petrillo, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1500 S Mill Ave, Tempe, AZ 85281
Phone: 480-784-5500    Fax: 203-865-2983
Mr. Mazi Darrell Condelee, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1500 S Mill Ave, Tempe, AZ 85281
Phone: 480-784-5500    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.