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MRS. JESSICA MAE MOODY PHYSICIAN ASSISTANT
NPI 1043349400
Physician Assistant - Medical in Phoenix, AZ

Active since March 03, 2007PECOS Enrolled
11201 N TATUM BLVD STE 300, PHOENIX, AZ 85028(480) 900-3556 Get Directions Write a Review

NPPES record last updated: March 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Jessica Mae Moody Physician Assistant NPPES

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

MRS. JESSICA MAE MOODY PHYSICIAN ASSISTANT (NPI 1043349400) is an individual medical provider in Phoenix, Arizona, licensed in Arizona (3474) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043349400
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. JESSICA MAE MOODYCredential: PHYSICIAN ASSISTANT
Location Address11201 N TATUM BLVD STE 300Phoenix, AZ 85028-6039
Mailing Address28727 N 20th AvePhoenix, AZ 85085-0727 · (520) 780-0129
Phone(480) 900-3556
Sole ProprietorNo
Enumeration DateMarch 3, 2007
Last NPPES UpdateMarch 31, 2023
NPPES CertifiedMarch 31, 2023
✔ NPI 1043349400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in AZ · 3474
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 3474 (AZ)
11201 N TATUM BLVD STE 300, Phoenix, AZ 85028
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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)

Mrs. Jessica Mae Moody Physician Assistant 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$14.86 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers20 claims20 services$62.75 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$31.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

THERESA TIMONY NURSING INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
Maricopa County (760) 498-4749
DOCTOR ON CALL CORP
General Practice
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
Maricopa County (480) 900-3556
MEGAN WALKER ALLIGOOD NP
Nurse Practitioner
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
Maricopa County (510) 529-7768
PEDROSO PSYCHOLOGICAL SERVICES, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
Maricopa County (480) 310-8090
CAROLYN JAEDECKE
Counselor
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
Maricopa County (602) 704-4796
COMPASSION CARE, INC.
Private Vehicle
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
Maricopa County (844) 422-6368
DEVOTION HOME HEALTH CARE, LLC
Home Health
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
Maricopa County (602) 908-7430
SHANNON TAROT QUINN MS
Psychologist (Counseling)
11201 N TATUM BLVD STE 300
PHOENIX, AZ 85028
Maricopa County (480) 256-2721

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 Jessica Moody's NPI number?

The NPI number for Jessica Moody is 1043349400. It was assigned to this individual provider in the NPPES registry on March 3, 2007.

Where is Jessica Moody located?

Jessica Moody practices at 11201 N Tatum Blvd Ste 300, Phoenix, AZ 85028. The listed phone number is (480) 900-3556.

What is Jessica Moody's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jessica Moody enrolled in Medicare?

Yes. Jessica Moody is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Moody was last updated on March 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.