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

Tamela A Moore

Individual provider Certified Registered Nurse Anesthetist · NPI 1902856081

Tamela A Moore is a Certified Registered Nurse Anesthetist (CRNA) in Loves Park, Illinois. Qualified in 1989, 37 years ago. Practices with Rockford Anesthesiologists Associated LLC, a 61-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
37
Licensed in
IL
In the registry since
2006
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Practice location Address checks out

2202 Harlem Rd
Loves Park, IL 61111-2754
Phone: (815) 877-4848
Fax: (815) 636-6125
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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 209.020399 (IL)

Record details

NPI number1902856081
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 11, 2006
Last updated in NPPESJanuary 17, 2020
Certification dateJanuary 17, 2020
Mailing address2202 Harlem Road, Loves Park, IL 61111-2754

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Rockford Anesthesiologists Associated Llc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Loves Park