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

Nicholas Moore

Individual provider Certified Registered Nurse Anesthetist · NPI 1013550383

Nicholas Moore is a Certified Registered Nurse Anesthetist (CRNA) in Tempe, Arizona. Qualified in 2019, 7 years ago. Practices with Greater Anesthesia Solutions, a 209-clinician group and accepts Medicare assignment. Licensed in Arizona, California and Nevada.

Years since qualifying
7
Licensed in
AZ, CA, NV
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

1500 S Mill Ave
Tempe, AZ 85281-6699
Phone: (480) 784-5500
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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 246503 (AZ)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence NA95001207 (CA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 834330 (NV)

Record details

NPI number1013550383
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 19, 2019
Last updated in NPPESOctober 15, 2021
Certification dateOctober 15, 2021
Mailing address912 Granger Farm Way, Las Vegas, NV 89145-8618

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Greater Anesthesia Solutions — 209 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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