Jenitre Shavonne Moore, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Jacksonville, FL

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Jenitre Shavonne Moore, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jacksonville, Florida. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Sunshine State Anesthesia Partners Llc and her current practice location is 5885 Edenfield Rd Apt L32, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (912) 980-7461.

Jenitre Shavonne Moore is licensed to practice in Florida (license number ARNP9316340) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1215436423.

Contact Information

Jenitre Shavonne Moore, CRNA
5885 Edenfield Rd Apt L32,
Jacksonville, FL 32277-1203
(912) 980-7461
Not Available

Map and Direction




Provider's Profile

Full NameJenitre Shavonne Moore
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience15 Years
Location5885 Edenfield Rd Apt L32, Jacksonville, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jenitre Shavonne Moore graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1215436423
  • Provider Enumeration Date: 02/03/2018
  • Last Update Date: 02/03/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9830451376
  • Enrollment ID: I20180322000612

Medical Identifiers

Medical identifiers for Jenitre Shavonne Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215436423NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered ARNP9316340 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Hospital JacksonvilleJacksonville, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sunshine State Anesthesia Partners Llc8123434792365

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jenitre Shavonne Moore allows following entities to bill medicare on her behalf.
Entity NameGulf-to-bay Anesthesiology Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720039746
PECOS PAC ID: 5092628156
Enrollment ID: O20031106000250
Entity NamePhysician Partners Of America Crna Operations Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992129365
PECOS PAC ID: 8022239722
Enrollment ID: O20160421000842
Entity NameQuiescence Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942671805
PECOS PAC ID: 2567750359
Enrollment ID: O20161011001486
Entity NameVision Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134740319
PECOS PAC ID: 0648691592
Enrollment ID: O20200601001043
Entity NameSunshine State Anesthesia Partners Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437757127
PECOS PAC ID: 8123434792
Enrollment ID: O20210305000003
Entity NameOverwatch Anesthesia
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528616810
PECOS PAC ID: 3678949146
Enrollment ID: O20230404001489

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jenitre Shavonne Moore is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jenitre Shavonne Moore, CRNA
5885 Edenfield Rd Apt L32,
Jacksonville, FL 32277-1203

Ph: (912) 980-7461		Jenitre Shavonne Moore, CRNA
5885 Edenfield Rd Apt L32,
Jacksonville, FL 32277-1203

Ph: (912) 980-7461

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.