MR. NORMAN BLAKE JR. MOORE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1225030372
Certified Registered Nurse Anesthetist
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Profile Insights
NPPES metrics only — not quality of care.
1,619 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in SC
Provider Addresses for MR. NORMAN BLAKE JR. MOORE (CRNA)
Dauphin Street, Dauphin Acres, Mobile, Mobile County, Alabama, 36607, United States
MOBILE, AL 366062457
Phone: (601) 261-3606
Fax: (601) 579-5240
Type: Mailing
2720 SUNSET BLVD
WEST COLUMBIA, SC 291694810
Phone: (803) 935-8538
Type: Location
415 S 28th Ave
Hattiesburg, MS 394017246
Phone: (601) 261-3606
Fax: (601) 579-5383
Type: Location
Hattiesburg Clinic, 415, South 28th Avenue, Innswood, Hattiesburg, Forrest County, Mississippi, 39401, United States
HATTIESBURG, MS 394017246
Phone: (601) 261-3606
Fax: (601) 579-5383
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $18.
Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.
Last reported payment date: 2024-08-14 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($18).
Total Amount
$18
General + Research + Ownership
Payments
1
Total payment records
General Amount
$18
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pacira Pharmaceuticals Incorporated | $18 |
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: 2024-06-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120202000915 | I | Certified Registered Nurse Anesthetist (Crna) | AL | TBD |
| I20160916001440 | I | Certified Registered Nurse Anesthetist (Crna) | MS | TBD |
| I20221114001322 | I | Certified Registered Nurse Anesthetist (Crna) | NC | TBD |
| I20240619001930 | I | Certified Registered Nurse Anesthetist (Crna) | SC | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 53 | 53 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 40 | 39 | $0 |
Insurance plans in this area (ZIP 36606)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Cardiology | SC | |
| Family Practice | NC | |
| Physical Therapist In Private Practice | SC | |
| Nurse Practitioner | SC | |
| Certified Registered Nurse Anesthetist (Crna) | SC | |
| General Surgery | SC | |
| Nurse Practitioner | SC | |
| P S Y C H I A T R Y | SC | |
| Certified Registered Nurse Anesthetist (Crna) | SC | |
| Nurse Practitioner | SC |
Reviews
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