BRIANNA MICHELLE MOULTRIE – Certified Registered Nurse Anesthetist, NPI 1184234676

BRIANNA MICHELLE MOULTRIE is a healthcare provider. based in Moulton, Alabama. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 1-145031 (AL). The NPI Number for BRIANNA MICHELLE MOULTRIE is 1184234676

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
BRIANNA MICHELLE MOULTRIE
NPI
1184234676
Phone
Not provided
Address
696 COUNTY ROAD 307
Enumeration Date
9 August 2020
Last Update Date
8 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2562658120
Graduation Year
2020 (6 years ago)
PAC ID
4789002429
Group Practice PAC ID
7315990751
Professional Enrollment ID
I20200914000478
Address ID
AL358013784HU245XXSEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,626 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in AL

Provider Addresses for BRIANNA MICHELLE MOULTRIE

  • 696 COUNTY ROAD 307

    MOULTON, AL 356508427

    Phone:

    Type: Mailing

  • 245 GOVERNORS DR SE

    HUNTSVILLE, AL 358012700

    Phone: (256) 265-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-09-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200914000478ICertified Registered Nurse Anesthetist (Crna)ALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery142129$0
00813Anesthesia for procedure on small and large bowel using an endoscope1919$0
01810Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand1616$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1313$0
00811Anesthesia for other procedure on large bowel using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 35650)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315990751View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)AL
-AL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)AL

Reviews

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Frequently asked questions

What is the registry number for BRIANNA MICHELLE MOULTRIE?
The registry entry for BRIANNA MICHELLE MOULTRIE shows NPI 1184234676.
Should I treat BRIANNA MICHELLE MOULTRIE as an active provider?
Patients and plans typically see BRIANNA MICHELLE MOULTRIE as active in the national extract.
How should patients interpret BRIANNA MICHELLE MOULTRIE's specialty?
The extract shows Certified Registered Nurse Anesthetist for BRIANNA MICHELLE MOULTRIE. Clinical services aligned with this taxonomy classification.
What geographic area is tied to BRIANNA MICHELLE MOULTRIE?
BRIANNA MICHELLE MOULTRIE is associated with Moulton, Alabama in the same public data insurers reference.
Who maintains BRIANNA MICHELLE MOULTRIE's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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