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

Cullen Moore

Individual provider Registered Nurse · NPI 1447885637

Cullen Moore is a Certified Registered Nurse Anesthetist (CRNA) in Raleigh, North Carolina. Qualified in 2022, 4 years ago. Practices with St Alphonsus Professional Medical Services LLC, a 123-clinician group, works from 7 locations and accepts Medicare assignment. Licensed in North Carolina and Virginia.

Years since qualifying
4
Licensed in
NC, VA
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone: (919) 350-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (6)

  • 1000 E Broad St, Richmond, VA 23219-1930 — (804) 828-2207
  • 9105 Stony Point Dr, Richmond, VA 23235-1979 — (804) 828-2207
  • 9109 Stony Point Dr, Richmond, VA 23235-1979 — (804) 828-2207
  • 1001 E Leigh St, Richmond, VA 23298-5004 — (804) 828-2207
  • 1300 E Marshall St, Richmond, VA 23298-5028 — (804) 828-9632
  • 1250 E Marshall St, Richmond, VA 23298-5023 — (804) 828-2207

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 006978 (NC)
Registered Nurse Taxonomy 163W00000X · Licence 273120 (NC)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 0024188309 (VA)

Record details

NPI number1447885637
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 8, 2020
Last updated in NPPESDecember 14, 2023
Certification dateDecember 14, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice St Alphonsus Professional Medical Services Llc — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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