LAURENT AIESHA MOE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1043749773

LAURENT AIESHA MOE (CRNA) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN623066 (PA). The NPI Number for LAURENT AIESHA MOE (CRNA) is 1043749773

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
LAURENT AIESHA MOE (CRNA)
NPI
1043749773
Phone
(215) 707-3326
Address
2450 W HUNTING PARK AVE
Enumeration Date
6 June 2017
Last Update Date
24 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8285805000
Graduation Year
2017 (9 years ago)
PAC ID
8022381680
Group Practice PAC ID
7416357801
Professional Enrollment ID
I20230711000990
Address ID
NC286554044MO2201XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness85
Years active:9State licenses:2Digital endpointsOther names

4,245 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in PA

Loading map...

Provider Addresses for LAURENT AIESHA MOE (CRNA)

  • 2450, West Hunting Park Avenue, Tioga, Philadelphia, Philadelphia County, Pennsylvania, 19129, United States

    PHILADELPHIA, PA 191291302

    Phone: (215) 707-3326

    Fax: (215) 707-8028

    Type: Mailing

  • Temple University Hospital, 3401, North Broad Street, Philadelphia, Philadelphia County, Pennsylvania, 19140, United States

    PHILADELPHIA, PA 191405103

    Phone: (215) 707-3326

    Fax: (215) 707-8028

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2023-07-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220418002198ICertified Registered Nurse Anesthetist (Crna)NMTBD
I20230711000990ICertified Registered Nurse Anesthetist (Crna)NCTBD

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 endoscope1919$0
00811Anesthesia for other procedure on large bowel using an endoscope1515$0
00813Anesthesia for procedure on small and large bowel using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 19129)

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: 7416357801View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)NC
A N E S T H E S I O L O G YMO
A N E S T H E S I O L O G YMA
A N E S T H E S I O L O G YNC
A N E S T H E S I O L O G YSC
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)NC
A N E S T H E S I O L O G YNJ
A N E S T H E S I O L O G YAK
Certified Registered Nurse Anesthetist (Crna)NC

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 LAURENT AIESHA MOE (CRNA) for billing?
Administrative and clinical systems typically use NPI 1043749773 for LAURENT AIESHA MOE (CRNA).
Is LAURENT AIESHA MOE (CRNA) currently accepting referrals based on NPI status?
Registry metadata lists LAURENT AIESHA MOE (CRNA) as active.
What does the directory say LAURENT AIESHA MOE (CRNA) does?
Insurance directories may phrase it differently, but here LAURENT AIESHA MOE (CRNA) maps to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is LAURENT AIESHA MOE (CRNA) tied to Philadelphia, Pennsylvania?
If you are local to Philadelphia, Pennsylvania, LAURENT AIESHA MOE (CRNA) may be relevant to your search.
Who maintains LAURENT AIESHA MOE (CRNA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.