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

Mrs. Alicia Brooke Moore, CRNA

Individual provider Registered Nurse · NPI 1144599523

Mrs. Alicia Brooke Moore, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Fraser, Michigan. Qualified in 2008, 18 years ago. Practices with Eastern District Anesthesiology PLLC, a 40-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
18
Licensed in
MI
In the registry since
2011
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

16152 Windham
Fraser, MI 48026-2042
Phone: (586) 242-9562
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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 4704210341 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704210341 (MI)

Record details

NPI number1144599523
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorYes
NPI enumeratedDecember 14, 2011
Last updated in NPPESSeptember 21, 2023
Certification dateSeptember 21, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Eastern District Anesthesiology Pllc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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