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

Individual provider Certified Registered Nurse Anesthetist · NPI 1619222866

Diane Moore, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Berwyn, Illinois. Qualified in 2012, 14 years ago. Practices with Northstar Anesthesia of Illinois, LLC, a 406-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
14
Licensed in
IL
In the registry since
2012
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

3249 Oak Park Ave
Berwyn, IL 60402-3429
Phone: (708) 783-9100
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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 041333067 (IL)

Record details

NPI number1619222866
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 13, 2012
Last updated in NPPESJuly 13, 2012
Mailing address68 S Service Rd, Suite 350, Melville, NY 11747-2354

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Northstar Anesthesia Of Illinois, Llc — 406 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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