Samuel Moore
NPI 1154000438 · Certified Registered Nurse Anesthetist · Minneapolis, MN
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samuel Moore is a Certified Registered Nurse Anesthetist provider in Minneapolis, MN (NPI 1154000438).
Provider details
- NPI number
- 1154000438
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2893 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-07-14
- Last updated
- 2023-10-10
- Certified
- 2023-10-10
Frequently asked questions
- What is Samuel Moore's NPI number?
- Samuel Moore's National Provider Identifier (NPI) is 1154000438, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Moore's specialty?
- Samuel Moore is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Samuel Moore located?
- Samuel Moore's practice location on file with NPPES is 500 Harvard St Se, Minneapolis, MN 55455-0363.
- What is Samuel Moore's phone number?
- The practice phone number listed in the NPPES registry for Samuel Moore is (612) 273-8383.
- Does Samuel Moore accept Medicare?
- Samuel Moore is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samuel Moore's NPI active?
- Yes — Samuel Moore's NPI (1154000438) is active in the NPPES registry as of the last update on 2023-10-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.