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

Randall D. Moore, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1679562532

Randall D. Moore, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Springfield, Illinois. Qualified in 2014, 12 years ago. Practices with Northstar Anesthesia of Illinois, LLC, a 406-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
12
Licensed in
IL
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

800 E Carpenter St Rm 2K64
Springfield, IL 62769-0001
Phone: (217) 525-5643
Fax: (217) 544-2521
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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 041318849 (IL)

Record details

NPI number1679562532
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 13, 2005
Last updated in NPPESJuly 8, 2007
Mailing address800 East Carpenter Street, Room 2k64, Springfield, IL 62769-0001

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Northstar Anesthesia Of Illinois, Llc — 406 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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