Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Colleen R Moran, ANP-BC

Individual provider Gerontology Nurse Practitioner · NPI 1902309164

Colleen R Moran, ANP-BC is a Nurse Practitioner in Middletown, New York. Qualified in 2018, 8 years ago. Practices with Crystal Run Healthcare Physicians LLP, a 366-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2018
Specialties on file
2

Practice location Address checks out

155 Crystal Run Rd
Middletown, NY 10941-4028
Phone: (845) 703-6999
Fax: (845) 703-6297
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F308599 (NY)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence F308599 (NY)

Record details

NPI number1902309164
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP-BC
Sole proprietorNo
NPI enumeratedMarch 14, 2018
Last updated in NPPESOctober 12, 2020
Certification dateOctober 12, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Crystal Run Healthcare Physicians Llp — 366 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Middletown