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

Paul Robert Moore, RN, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1558686253

Paul Robert Moore, RN, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Farmington, New Mexico. Qualified in 2010, 16 years ago. Practices with Four Corners Anesthesia, PA, a 6-clinician group and accepts Medicare assignment. Licensed in Minnesota and New Mexico.

Years since qualifying
16
Licensed in
MN, NM
In the registry since
2010
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

801 W Maple St
Farmington, NM 87401-5630
Phone: (505) 609-2000
Fax: (505) 609-2259
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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 R1778687 (MN)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence CRNA-01077 (NM)

Record details

NPI number1558686253
Entity typeIndividual (Type 1)
GenderMale
Credentials RN , CRNA
Sole proprietorNo
NPI enumeratedApril 6, 2010
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Four Corners Anesthesia, P.A. — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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