JENNIFER MORA APNP
NPI 1013765809
Nurse Practitioner - Adult Health in Stoughton, WI

Active since May 08, 2024PECOS EnrolledAccepts Medicare Assignment
900 RIDGE ST, STOUGHTON, WI 53589(608) 577-8843 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 7, 2024, May 8, 2024 (2 updates tracked since 2024).

About Jennifer Mora Apnp NPPES

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

JENNIFER MORA APNP (NPI 1013765809) is an individual adult health provider in Stoughton, Wisconsin, licensed in Wisconsin (15414-33) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with Stoughton Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1013765809
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJENNIFER MORACredential: APNP
Location Address900 RIDGE STStoughton, WI 53589-1864
Mailing Address900 Ridge StStoughton, WI 53589-1864 · (608) 873-2204
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 8, 2024
Last NPPES UpdateOctober 7, 20242 updates tracked since enumeration
NPPES CertifiedOctober 7, 2024
✔ NPI 1013765809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in WI · 15414-33
Also ListedRegistered NurseTaxonomy 163W00000X · License 151809-30 (WI)
900 RIDGE ST, Stoughton, WI 53589

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Mora Apnp 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 ID6204368285
PECOS Enrollment IDI20241015003743
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Mora reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatric Unit
900 RIDGE ST
Stoughton, WI 53589
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1679558647 (Wisconsin)
  • 86 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Stoughton Hospital

Critical Access Hospitals · Stoughton, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521343
Location900 Ridge StStoughton, WI 53589 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53589 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Physician Assistant
900 RIDGE ST
STOUGHTON, WI 53589
Occupational Therapist
900 RIDGE ST
STOUGHTON, WI 53589
Physical Therapy Assistant
900 RIDGE ST
STOUGHTON, WI 53589
Physical Therapist
900 RIDGE ST
STOUGHTON, WI 53589
Nurse Anesthetist, Certified Registered
900 RIDGE ST
STOUGHTON, WI 53589
Orthopaedic Surgery
900 RIDGE ST
STOUGHTON, WI 53589
Physician Assistant
900 RIDGE ST
STOUGHTON, WI 53589
Home Health
900 RIDGE ST
STOUGHTON, WI 53589

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Mora's NPI number?

The NPI number for Jennifer Mora is 1013765809. It was assigned to this individual provider in the NPPES registry on May 8, 2024.

Where is Jennifer Mora located?

Jennifer Mora practices at 900 Ridge St, Stoughton, WI 53589. The listed phone number is (608) 577-8843.

What is Jennifer Mora's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jennifer Mora enrolled in Medicare?

Yes. Jennifer Mora is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jennifer Mora's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Mora reassigns Medicare benefits to Stoughton Hospital Association (Stoughton, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Mora's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jennifer Mora affiliated with any hospitals?

According to CMS data, Jennifer Mora is affiliated with Stoughton Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Mora was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.