ANDREW MOODY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1962488973

ANDREW MOODY (CRNA) is a healthcare provider. based in Urbana, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 209005597 (IL). The NPI Number for ANDREW MOODY (CRNA) is 1962488973

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW MOODY (CRNA)
NPI
1962488973
Phone
Not provided
Address
611 W. PARK ST.
Enumeration Date
21 December 2005
Last Update Date
9 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8887122753
Graduation Year
2005 (21 years ago)
PAC ID
8325063241
Group Practice PAC ID
3577515774
Professional Enrollment ID
I20051011000076
Address ID
IL618012501UR611XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness85
Years active:20State licenses:2Digital endpointsOther names

2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

Provider Addresses for ANDREW MOODY (CRNA)

  • Carle Foundation Hospital, 611, West Park Street, Urbana, Champaign County, Illinois, 61801, United States

    FAPC

    URBANA, IL 61801

    Phone:

    Type: Mailing

  • 1505 Eastland Dr

    LL 1400

    Bloomington, IL 617013534

    Phone: (309) 663-4700

    Fax: (309) 665-0575

    Type: Location

  • Curtis Road, Ogden, Champaign County, Illinois, 61859, United States

    CHAMPAIGN, IL 618229678

    Phone: (217) 365-6206

    Type: Location

  • 611 W PARK ST

    URBANA, IL 618012501

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $60.

Total Amount is formed as General ($60) + Research ($0) + Ownership ($0) = $60.

Last reported payment date: 2024-01-22 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($36).

Total Amount

$60

General + Research + Ownership

Payments

3

Total payment records

General Amount

$60

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-10-11

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
I20051011000076ICertified Registered Nurse Anesthetist (Crna)ILTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 61801)

Loading plans...

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: 3577515774View full group profile
NameSpecialtyState
P S Y C H I A T R YIL
P S Y C H I A T R YIL
G A S T R O E N T E R O L O G YIL
Family Practice, Psychiatry, Family PracticeNY
Nurse PractitionerIL
Clinical PsychologistIL
-FL
Nurse PractitionerIL
Gastroenterology, Internal MedicineWI
Interventional Radiology, Diagnostic RadiologyDE

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify ANDREW MOODY (CRNA) for billing?
Administrative and clinical systems typically use NPI 1962488973 for ANDREW MOODY (CRNA).
Should I treat ANDREW MOODY (CRNA) as an active provider?
Patients and plans typically see ANDREW MOODY (CRNA) as active in the national extract.
Which specialty label fits ANDREW MOODY (CRNA)?
NPPES ties ANDREW MOODY (CRNA) to Certified Registered Nurse Anesthetist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit ANDREW MOODY (CRNA) in Urbana, Illinois?
For routing, start with Urbana, Illinois for ANDREW MOODY (CRNA), then verify phone and hours locally.
Why is information missing for ANDREW MOODY (CRNA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.