JENNA BROOKLYN MOORE
NPI 1023981909
Physician Assistant - Surgical in Fort Worth, TX

Active since September 25, 2025PECOS EnrolledAccepts Medicare Assignment
800 5TH AVE STE 300, FORT WORTH, TX 76104(817) 250-5690(817) 878-5321 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jenna Brooklyn Moore NPPES

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

JENNA BROOKLYN MOORE (NPI 1023981909) is an individual surgical provider in Fort Worth, Texas, licensed in Texas (PA19726) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Fort Worth, and maintains a secondary practice location in Northlake.

NPPES Registry Identity

NPI1023981909
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameJENNA BROOKLYN MOORE
Location Address800 5TH AVE STE 300Fort Worth, TX 76104-7303
Mailing Address5001 State Highway 114 Apt 3311Northlake, TX 76262-2278 · (812) 621-7977
Fax(817) 878-5321
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 25, 2025
Last NPPES UpdateDecember 3, 2025
NPPES CertifiedDecember 3, 2025
NPI 1023981909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in TX · PA19726
Also ListedPhysician AssistantTaxonomy 363A00000X
800 5TH AVE STE 300, Fort Worth, TX 76104

Secondary Practice Location 1

Location 15001 State Highway 114 Apt 3311Northlake, TX 76262-2278 · Phone (812) 621-7977

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

Jenna Brooklyn Moore 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 ID2668966938
PECOS Enrollment IDI20251213000362
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.

Hospital Affiliations CMS Care Compare

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

Texas Health Harris Methodist Hospital Fort Worth

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450135
Location1301 Pennsylvania AvenueFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 10

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

Physician Assistant
800 5TH AVE STE 300
FORT WORTH, TX 76104
Orthopaedic Surgery (Orthopaedic Trauma)
800 5TH AVE STE 300
FORT WORTH, TX 76104
Orthopaedic Surgery
800 5TH AVE STE 300
FORT WORTH, TX 76104
Physical Medicine & Rehabilitation (Pain Medicine)
800 5TH AVE STE 300
FORT WORTH, TX 76104
Orthopaedic Surgery (Orthopaedic Trauma)
800 5TH AVE STE 300
FORT WORTH, TX 76104
Physician Assistant (Surgical)
800 5TH AVE STE 300
FORT WORTH, TX 76104
Orthopaedic Surgery (Orthopaedic Trauma)
800 5TH AVE STE 300
FORT WORTH, TX 76104
Physician Assistant (Surgical)
800 5TH AVE STE 300
FORT WORTH, TX 76104

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 Jenna Moore's NPI number?

The NPI number for Jenna Moore is 1023981909. It was assigned to this individual provider in the NPPES registry on September 25, 2025.

Where is Jenna Moore located?

Jenna Moore practices at 800 5th Ave Ste 300, Fort Worth, TX 76104. The listed phone number is (817) 250-5690.

What is Jenna Moore's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jenna Moore enrolled in Medicare?

Yes. Jenna Moore 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.

Is Jenna Moore affiliated with any hospitals?

According to CMS data, Jenna Moore is affiliated with Texas Health Harris Methodist Hospital Fort Worth.

When was this NPI record last updated?

The NPPES record for Jenna Moore was last updated on December 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.