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

Individual provider Certified Registered Nurse Anesthetist · NPI 1104418078

Meagan Nicole Moore, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Bowling Green, Kentucky. Qualified in 2020, 6 years ago. Practices with Jennie Stuart Medical Center Inc, a 110-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
6
Licensed in
KY
In the registry since
2021
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

250 Park St
Bowling Green, KY 42101-1760
Phone: (270) 745-1000
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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 3015758 (KY)

Record details

NPI number1104418078
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorYes
NPI enumeratedFebruary 10, 2021
Last updated in NPPESFebruary 10, 2021
Certification dateFebruary 10, 2021

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Jennie Stuart Medical Center Inc — 110 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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