MRS. KIMBERLY A. MOORE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1104910934
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,775 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MO
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Provider Addresses for MRS. KIMBERLY A. MOORE (CRNA)
1900 SWIFT AVE STE 203
PO BOX 7391
NORTH KANSAS CITY, MO 641163400
Phone: (816) 221-5050
Fax: (816) 471-1247
Type: Mailing
North Kansas City Hospital, 2800, Clay Edwards Drive, North Kansas City, Clay County, Missouri, 64116, United States
NORTH KANSAS CITY, MO 641163220
Phone: (816) 221-5050
Fax: (816) 471-1247
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: 2012-05-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120514000031 | I | Certified Registered Nurse Anesthetist (Crna) | MO | 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 |
|---|---|---|---|---|
| 01400 | Anesthesia for other procedure or exam of knee joint using an endoscope | 34 | 34 | $0 |
| 01810 | Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand | 34 | 33 | $0 |
| 01630 | Anesthesia for other procedure on top of arm bone and shoulder joint | 31 | 31 | $0 |
| 01402 | Anesthesia for procedure for total knee joint replacement | 22 | 21 | $0 |
| 01214 | Anesthesia for total hip replacement | 13 | 13 | $0 |
Insurance plans in this area (ZIP 64116)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Sports Medicine, Family Practice | MO | |
| Physician Assistant | MO | |
| Pain Management | MO | |
| A N E S T H E S I O L O G Y | MO | |
| Nurse Practitioner | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| - | MO | |
| - | MO | |
| Orthopedic Surgery | OK |
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