JENNA BROOKLYN MOORE
NPI 1023981909
Physician Assistant - Surgical in Fort Worth, TX
NPI Status: Active since September 25, 2025
Contact Information
800 5TH AVE STE 300
FORT WORTH, TX
ZIP 76104
Phone: (817) 250-5690
Fax: (817) 878-5321
- Individual
- Female
- Physician Assistant
- Surgical
- PECOS Enrolled
About JENNA MOORE
This page provides the complete NPI Profile along with additional information for Jenna Moore, a provider established in Fort Worth, Texas with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1023981909 assigned on September 2025. The practitioner's primary taxonomy code is 363AS0400X with license number PA19726 (TX). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1023981909
- Provider Name
- JENNA BROOKLYN MOORE
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 800 5TH AVE STE 300 FORT WORTH, TX 76104
- Location Phone
- (817) 250-5690
- Location Fax
- (817) 878-5321
- Mailing Address
- 5001 STATE HIGHWAY 114 APT 3311 NORTHLAKE, TX 76262
- Mailing Phone
- (812) 621-7977
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-25-2025
- Last Update Date
- 12-03-2025
- Code Navigator
Location Map
Secondary Locations
- 5001 State Highway 114 Apt 3311
Northlake, TX 76262
(812) 621-7977
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA19726
- License State
- TX
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | (TX) |
Medicare Participation & PECOS Enrollment Status
Jenna Moore is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1023981909, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023981909, enumerated as an "individual" on September 25, 2025.
The provider is located at 800 5TH AVE STE 300 FORT WORTH, TX 76104 and the phone number is (817) 250-5690.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
