Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samuel Moore

Individual provider Certified Registered Nurse Anesthetist · NPI 1154000438

Samuel Moore is registered under Certified Registered Nurse Anesthetist (CRNA) in Minneapolis, Minnesota. Qualified in 2016, 10 years ago. Practices with University Anesthesia Providers LLC, a 332-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
10
Licensed in
MN
In the registry since
2023
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Practice location Address checks out

500 Harvard St SE
Minneapolis, MN 55455-0363
Phone: (612) 273-8383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 2893 (MN)

Record details

NPI number1154000438
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 14, 2023
Last updated in NPPESOctober 10, 2023
Certification dateOctober 10, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice University Anesthesia Providers Llc — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients71
Services billed 71 a service is one billed item, such as a visit, a test or a procedure
Average patient age67

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at University Anesthesia Providers LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 332 clinicians in the practice; 12 are shown here.

Other providers in Minneapolis