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

Stephanie K Moore, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1275915613

Stephanie K Moore, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in College Station, Texas. Qualified in 2015, 11 years ago. Practices with John Kimball Anesthesia LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Tennessee and Texas.

Years since qualifying
11
Licensed in
TN, TX
In the registry since
2015
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

700 Scott And White Dr
College Station, TX 77845-6441
Phone: (979) 207-0100
Fax: (979) 207-2161
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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 20440 (TN)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 82880 (TX)

Record details

NPI number1275915613
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 22, 2015
Last updated in NPPESJanuary 25, 2022
Certification dateJanuary 25, 2022
Mailing addressPo Box 844658, Dallas, TX 75284-2954

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice John Kimball Anesthesia Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in College Station