JORDAN MOELLER CAA
NPI 1013721703
Anesthesiologist Assistant in Charleston, SC

Q: What is Jordan Moeller's NPI number?

The NPI number for Jordan Moeller is 1013721703. It was assigned to this individual provider in the NPPES registry on February 4, 2025.

Q: What is Jordan Moeller's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Moeller was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 04, 2025Accepts Medicare Assignment

9263 MEDICAL PLAZA DR STE E, CHARLESTON, SC 29406(843) 572-1228 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jordan Moeller Caa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN MOELLER CAA (NPI 1013721703) is an individual anesthesiologist assistant in Charleston, South Carolina, licensed in South Carolina (135) and active in the NPI registry since February 2025. She is affiliated with Trident Medical Center and is a graduate of Other (2024).

NPPES Registry Identity

NPI1013721703

Entity TypeIndividualFemale

Primary Taxonomy367H00000X

Provider Legal NameJORDAN MOELLERCredential: CAA

Location Address9263 MEDICAL PLAZA DR STE ECharleston, SC 29406-7112

Mailing Address9263 Medical Plaza Dr Ste ECharleston, SC 29406-7112 · (843) 572-1228

Phone(843) 572-1228

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateFebruary 4, 2025

NPPES CertifiedFebruary 4, 2025

✔ NPI 1013721703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in SC · 135

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

9263 MEDICAL PLAZA DR STE E, Charleston, SC 29406

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jordan Moeller Caa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335662592

PECOS Enrollment IDI20250327003455

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trident Medical Center

Acute Care Hospitals · Charleston, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420079

Location9330 Medical Plaza DrCharleston, SC 29406 · Charleston County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DREW P CARDWELL SRNA

Nurse Anesthetist, Certified Registered