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

Mr. Michael Moore I, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1770585614

Mr. Michael Moore I, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Pottsville, Pennsylvania. Qualified in 1994, 32 years ago. Practices with The Pottsville PA Endoscopy ASC LP, a 3-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
32
Licensed in
PA
In the registry since
2005
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

227 Louisa Ave
Pottsville, PA 17901-8689
Phone: (570) 621-2843
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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 RN290431L (PA)

Record details

NPI number1770585614
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedAugust 11, 2005
Last updated in NPPESMay 1, 2009

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice The Pottsville Pa Endoscopy Asc Lp — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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