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

Individual provider Certified Registered Nurse Anesthetist · NPI 1043821499

Jacob Moening is a Certified Registered Nurse Anesthetist (CRNA) in Williamsville, New York. Qualified in 2021, 5 years ago. Practices with Southwest Ohio Anesthesia Consultants LLC, a 366-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2020
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Practice location Address checks out

30 S Cayuga Rd
Williamsville, NY 14221-6728
Phone: (716) 632-1088
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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 783316 (NY)

Record details

NPI number1043821499
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 10, 2020
Last updated in NPPESAugust 10, 2020
Certification dateAugust 10, 2020

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Southwest Ohio Anesthesia Consultants Llc — 366 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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