JORDAN ROBERT MOE M.D.
NPI 1033386966
Family Medicine in Staples, MN
About Jordan Robert Moe M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN ROBERT MOE M.D. (NPI 1033386966) is an individual family medicine provider in Staples, Minnesota, licensed in Minnesota (52007) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Lakewood Health System, and is a graduate of University Of Minnesota Medical School (2008).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
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
Jordan Robert Moe M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Jordan Moe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Staples, MN 56479
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1124019054 (Minnesota)
- 179 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.
Lakewood Health System
Critical Access Hospitals · Staples, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 56479 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 18
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
STAPLES, MN 56479
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 Jordan Moe's NPI number?
The NPI number for Jordan Moe is 1033386966. It was assigned to this individual provider in the NPPES registry on May 9, 2008.
Where is Jordan Moe located?
Jordan Moe practices at 49725 County 83, Staples, MN 56479. The listed phone number is (218) 894-1515.
What is Jordan Moe's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jordan Moe enrolled in Medicare?
Yes. Jordan Moe 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 Jordan Moe's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Moe reassigns Medicare benefits to Lakewood Health System (Staples, MN). 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 Jordan Moe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jordan Moe affiliated with any hospitals?
According to CMS data, Jordan Moe is affiliated with Lakewood Health System.
When was this NPI record last updated?
The NPPES record for Jordan Moe was last updated on December 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Jordan Robert Moe, M.D. · NPI 1033386966
Family Medicine physician in Staples, Minnesota. Individual provider, active in the CMS NPPES registry since May 9, 2008.
## Identity
- **NPI:** 1033386966 (Entity type: Individual)
- **Enumerated:** May 9, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 52007 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 49725 COUNTY 83, Staples, MN 56479-5280
- **Phone:** (218) 894-1515
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lakewood Health System (NPI 1295726362, Staples, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 2008
## Record status
- **NPPES last updated:** December 14, 2011
- **Other identifiers:** Other 1033386966 (WI); Medicaid 1033386966 (MN); Medicare PIN 080018654 (MN); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1033386966) · Data from the CMS NPPES public registry.