JENNIFER MOCO DO
NPI 1033053905
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Q: What is Jennifer Moco's NPI number?

The NPI number for Jennifer Moco is 1033053905. It was assigned to this individual provider in the NPPES registry on April 20, 2026.

Q: What is Jennifer Moco's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Moco was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 April 20, 2026PECOS Enrolled

2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 624-4477 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jennifer Moco Do NPPES

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

JENNIFER MOCO DO (NPI 1033053905) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033053905

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJENNIFER MOCOCredential: DO

Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450

Mailing Address2450 Riverside AveMinneapolis, MN 55454-1450

Phone(612) 624-4477

Sole ProprietorNo

Enumeration DateApril 20, 2026

NPPES CertifiedApril 19, 2026

✔ NPI 1033053905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2450 RIVERSIDE AVE, Minneapolis, MN 55454

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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 (PECOS)

Jennifer Moco Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MICHELLE IRENE GRAY

Rehabilitation Practitioner