HEATHER MOORE (RN) – Certified Registered Nurse Anesthetist, NPI 1003709270

HEATHER MOORE (RN) is a healthcare provider. based in Royersford, Pennsylvania. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials RN. They hold a License No. RN720060 (PA). The NPI Number for HEATHER MOORE (RN) is 1003709270

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER MOORE (RN)
NPI
1003709270
Phone
(484) 684-0159
Address
919 CHURCH ST
Enumeration Date
29 May 2025
Last Update Date
9 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2156124000
Graduation Year
2019 (7 years ago)
PAC ID
8729583778
Group Practice PAC ID
3577467018
Professional Enrollment ID
I20250923000440
Address ID
PA191144200PH10800RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

4,264 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in PA

Provider Addresses for HEATHER MOORE (RN)

  • 919 CHURCH ST

    ROYERSFORD, PA 194682123

    Phone: (484) 684-0159

    Type: Mailing

  • 10800 KNIGHTS RD

    PHILADELPHIA, PA 191144200

    Phone: (215) 612-4000

    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: 2025-09-23

PECOS data refreshed: 2026-06-15

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
I20250923000440ICertified Registered Nurse Anesthetist (Crna)PATBD

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 19468)

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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: 3577467018View full group profile

Reviews

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Frequently asked questions

Does HEATHER MOORE (RN) have a public NPI I can cite?
Public records show HEATHER MOORE (RN) under NPI 1003709270.
Is HEATHER MOORE (RN)'s NPI status active today?
Active status means HEATHER MOORE (RN)'s NPI record is not deactivated in the public file.
What services align with HEATHER MOORE (RN)'s listing?
HEATHER MOORE (RN)'s public classification highlights Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What city is tied to HEATHER MOORE (RN)?
The directory associates HEATHER MOORE (RN) with Royersford, Pennsylvania. Check all listed addresses for suites or satellite offices.
Why is information missing for HEATHER MOORE (RN)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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