MITCHELL MOORE – Certified Registered Nurse Anesthetist, NPI 1164186300
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
266 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in DE
Provider Addresses for MITCHELL MOORE
267 PINE VALLEY RD
DOVER, DE 199047110
Phone:
Type: Mailing
424 SAVANNAH RD
LEWES, DE 199581462
Phone: (302) 645-3300
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $164.
Total Amount is formed as General ($164) + Research ($0) + Ownership ($0) = $164.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($116).
Total Amount
$164
General + Research + Ownership
Payments
2
Total payment records
General Amount
$164
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| W. L. Gore & Associates, Inc. | $116 |
| Baxter Healthcare | $48 |
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: 2021-12-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211201002882 | I | Certified Registered Nurse Anesthetist (Crna) | DE | 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 |
|---|---|---|---|---|
| 01402 | Anesthesia for procedure for total knee joint replacement | 46 | 45 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 43 | 43 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 26 | 25 | $0 |
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 24 | 24 | $0 |
| 00790 | Anesthesia for other procedure on upper abdomen | 17 | 17 | $0 |
Insurance plans in this area (ZIP 19904)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | MD | |
| A N E S T H E S I O L O G Y | DE | |
| - | DE | |
| Certified Registered Nurse Anesthetist (Crna) | NY | |
| Certified Registered Nurse Anesthetist (Crna) | NJ | |
| - | DE | |
| A N E S T H E S I O L O G Y | DE | |
| Certified Registered Nurse Anesthetist (Crna) | DE | |
| Certified Registered Nurse Anesthetist (Crna) | NY | |
| Certified Registered Nurse Anesthetist (Crna) | MD |
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