REBECCA S MOODY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1003192998

Certified Registered Nurse Anesthetist

REBECCA S MOODY (CRNA) is a healthcare provider. based in Troy, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 4704259966 (MI). The NPI Number for REBECCA S MOODY (CRNA) is 1003192998

Main info

Female

15 Years Of Experience

Accepts Medicare Assignment

Name

REBECCA S MOODY (CRNA)

NPI

1003192998

Phone

(248) 585-8271

Address

130 TOWN CENTER DR

Enumeration Date

24 October 2011

Last Update Date

26 July 2016

Doctor Profile

Medical School Name

OTHER

Secondary Phone

7346552909

Graduation Year

2011 (15 years ago)

PAC ID

4981870631

Group Practice PAC ID

7911895164

Professional Enrollment ID

I20111229000403

Address ID

MI481541971LI36475RDXX400

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience42

Completeness75

Years active:14State licenses:1Digital endpointsOther names

2,692 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MI

Provider Addresses for REBECCA S MOODY (CRNA)

130 TOWN CENTER DR
STE 203
TROY, MI 480841744
Phone: (248) 585-8271
Fax: (248) 585-8266
Type: Mailing
401 S BALLENGER HWY
FLINT, MI 485323638
Phone: (810) 342-2000
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: 2011-12-29

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

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
I20111229000403	I	Certified Registered Nurse Anesthetist (Crna)	MI	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.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48084)

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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: 7911895164View full group profile

Name	Specialty	State
DYLAN M MEYER (RN, BSN)	Certified Registered Nurse Anesthetist (Crna)	MI
Unknown Individual	-	MI
MR. STEVEN JOHN DICKERSON (CRNA)	-	MI
MS. ROSEMARY DOTY (CRNA)	-	IN
KELLEY LABONTY (CRNA)	-	MI
DEBORAH A DULMAN (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MI
BERNARD J BETKA (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MI
BETH CROFUT (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MI
MR. JONATHAN TODD TAKALA (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MI
MS. SHAREE LYNN HOYT (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MI

Reviews

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Frequently asked questions

Does REBECCA S MOODY (CRNA) share an NPI with anyone else?

NPI numbers are unique to each provider or organization — REBECCA S MOODY (CRNA) uses 1003192998.

Does the file indicate REBECCA S MOODY (CRNA) is practicing under active NPI?

Directory data currently reports REBECCA S MOODY (CRNA) as active.

What is REBECCA S MOODY (CRNA) best known for clinically?

Directory data describes REBECCA S MOODY (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.

What area does REBECCA S MOODY (CRNA) serve?

REBECCA S MOODY (CRNA)'s listing highlights Troy, Michigan; more addresses can appear in NPPES.

Is the information about REBECCA S MOODY (CRNA) up to date?

Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."