Nicole Moore
NPI 1720430580 · Certified Registered Nurse Anesthetist · Lanham, MD
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicole Moore is a Certified Registered Nurse Anesthetist provider in Lanham, MD (NPI 1720430580).
Provider details
- NPI number
- 1720430580
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RN.331366 (OH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
9 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
11 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Anesthesia for Other Procedure on Skin of Arms, Legs, and Front Body00400 | 11 | $149 |
Typical Medicare-allowed amounts for these services range $149–$149 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 10307 Detroit Ave206Cleveland, OH 44102-1604Phone: (507) 202-5355
Registry dates
- Enumerated
- 2016-07-05
- Last updated
- 2019-02-08
Frequently asked questions
- What is Nicole Moore's NPI number?
- Nicole Moore's National Provider Identifier (NPI) is 1720430580, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Moore's specialty?
- Nicole Moore is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Nicole Moore located?
- Nicole Moore's practice location on file with NPPES is 8118 Good Luck Rd, Lanham, MD 20706-3574.
- What is Nicole Moore's phone number?
- The practice phone number listed in the NPPES registry for Nicole Moore is (301) 324-4968.
- Does Nicole Moore accept Medicare?
- Nicole Moore is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicole Moore's NPI active?
- Yes — Nicole Moore's NPI (1720430580) is active in the NPPES registry as of the last update on 2019-02-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.