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

Daniel Moore, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1639160674

Daniel Moore, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Edgewood, Kentucky. Qualified in 1984, 42 years ago. Practices with Anesthesia Group Practice Inc, a 399-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
42
Licensed in
KY
In the registry since
2005
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1 Medical Village Dr
Edgewood, KY 41017-3403
Phone: (859) 341-7246
Fax: (859) 341-7867
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 036799 (KY)
Registered Nurse Taxonomy 163W00000X · Licence 1041947 (KY)

Record details

NPI number1639160674
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 31, 2005
Last updated in NPPESAugust 28, 2012
Mailing address20 Medical Village Dr, Suite 258, Edgewood, KY 41017-5401

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Group practice Anesthesia Group Practice Inc — 399 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Edgewood