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

Individual provider Certified Registered Nurse Anesthetist · NPI 1194785493

William M Moss, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in St Paul, Minnesota. Qualified in 2003, 23 years ago. Practices with Southdale Anesthesiologists LLC, a 63-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
23
Licensed in
MN
In the registry since
2006
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

640 Jackson Street Mail Stop 11503P
St Paul, MN 55101-2502
Phone: (651) 254-3456
Fax: (651) 254-3048
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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 R1352935 (MN)

Record details

NPI number1194785493
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMarch 23, 2006
Last updated in NPPESMarch 16, 2015
Mailing address8100 34th Ave S, 21110q, Bloomington, MN 55425-1672

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Southdale Anesthesiologists Llc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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