Samuel Moore
Certified Registered Nurse Anesthetist · Minneapolis, MN
Samuel Moore is a certified registered nurse anesthetist with a practice address in Minneapolis, Minnesota, and NPI 1154000438, issued on Jul 14, 2023. Check the license (Minnesota 2893, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Samuel Moore
- Primary taxonomy
- Certified Registered Nurse Anesthetist 367500000X
- License number
- 2893 MN
Self-reported in NPPES; status is on the state search - Practice location
- 500 Harvard St SE, Minneapolis, MN 55455
- Phone
- (612) 273-8383
- Enumerated
- Jul 14, 2023
- Record last updated
- Oct 10, 2023
- Medicare enrollment
- Enrolled (PECOS I20231130001914); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest certified registered nurse anesthetist records → All 2,663 in Minnesota → Look up another NPI →
Also registered at 500 Harvard St SE
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Bonnie AlverRegistered Nurse1578120226
- Kyle AndersonPerfusionist1023974185
- Laura Andromalos, MS RD CSOWM CDCESRegistered Dietitian1063898195
- Jesse Bach, NPNurse Practitioner1144849985
Verify Samuel Moore in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license 2893Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- University Anesthesia Providers LLCMinneapolis, MN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Samuel Moore among 2,663 certified registered nurse anesthetist records in Minnesota
Samuel Moore is one of 2,663 certified registered nurse anesthetist records with a practice address in Minnesota. 73% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2023, is newer than 91% of them.
- NPI issued2023 · 91% of these records are older, 7% newer
- In a Medicare fileYes · 73% of these records are
- In the CMS Doctors and Clinicians fileYes · 72% of these records are
- Graduated2016 · median 2013 among the 1,930 with a school on file
- Record last updated2023 · 62% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 367500000X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
450 certified registered nurse anesthetist records list a practice address in Minneapolis
They are 450 of the 22,918 NPPES records with a practice address in Minneapolis, and 2,663 certified registered nurse anesthetist records in Minnesota.
All 2,663 in Minnesota → Every provider in Minneapolis → Certified Registered Nurse Anesthetist nationwide →
The 8 certified registered nurse anesthetist records with the nearest ZIP codes
- Barbara Bodnia, CRNAMinneapolis, MN 554551225005416
- Lisa Citak, CRNAMinneapolis, MN 554551720055841
- Mary Edgar, CRNAMinneapolis, MN 554551619944733
- David Feroe, CRNAMinneapolis, MN 554551184692071
- Evan Frakes, CRNAMinneapolis, MN 554551730156795
- Catherine Gryzmala, CRNAMinneapolis, MN 554551548237514
- Richard Hill, CRNAMinneapolis, MN 554551376518969
- Joshua Janisch, CRNAMinneapolis, MN 554551225003817
Common questions
What is Samuel Moore's NPI number?
Samuel Moore's National Provider Identifier (NPI) is 1154000438, issued on Jul 14, 2023. An NPI identifies a provider in billing; it is not a license.
Where is Samuel Moore located?
The NPPES record lists a practice address at 500 Harvard St SE, Minneapolis, MN, 55455. Phone: (612) 273-8383. Providers update this record themselves, so call before visiting.
How can I verify Samuel Moore's license?
NPPES lists Minnesota license number 2893, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.