1. Home
  2. Directory
  3. Minnesota
  4. Brooklyn Center
  5. Nurse Practitioner
  6. NPI Profile

JACKLINE MONYANGI MORIASI MSN, PMHNP-BC
NPI 1326761842
Nurse Practitioner - Psychiatric/Mental Health in Brooklyn Center, MN

Active since September 20, 2022PECOS Enrolled
6200 SHINGLE CREEK PKWY STE 350, BROOKLYN CENTER, MN 55430(763) 503-8560(763) 503-8563 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 22, 2023, Sep 20, 2022 (2 updates tracked since 2022).

About Jackline Monyangi Moriasi Msn, Pmhnp-bc NPPES

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

JACKLINE MONYANGI MORIASI MSN, PMHNP-BC (NPI 1326761842) is an individual psychiatric/mental health provider in Brooklyn Center, Minnesota, licensed in Minnesota (10108) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326761842
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJACKLINE MONYANGI MORIASICredential: MSN, PMHNP-BC
Location Address6200 SHINGLE CREEK PKWY STE 350Brooklyn Center, MN 55430-2155
Mailing Address4240 Park Glen RdSt Louis Park, MN 55416-5427 · (612) 925-6033 · Fax (612) 925-8496
Phone(763) 503-8560
Fax(763) 503-8563
Sole ProprietorNo
Enumeration DateSeptember 20, 2022
Last NPPES UpdateJune 22, 20232 updates tracked since enumeration
NPPES CertifiedJune 22, 2023
✔ NPI 1326761842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in MN · 10108✔ Licensed in GA · RN312890
Also ListedRegistered NurseTaxonomy 163W00000X · License 1699478 (MN)
6200 SHINGLE CREEK PKWY STE 350, Brooklyn Center, MN 55430
Open in Google Maps ↗

Other Names 1

Former Name (1)Jackline Monyangi Raini

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackline Monyangi Moriasi Msn, Pmhnp-bc 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.

Medicare Billing Reassignment

Medicare enrollment records show Jackline Moriasi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lyn-Lake Psychotherapy And Wellness Ltd.
8.3 mi
Clinical
621 W LAKE ST STE 350
Minneapolis, MN 55408
  • Reassigned Medicare billing, Minnesota enrollment
  • 152 clinicians in this Medicare group
NPI 1609355163 (612) 979-2276

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
79 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55430 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

AMY PATRICE KUUSISTO-LATHROP MSW, LICSW
Social Worker (Clinical)
6200 SHINGLE CREEK PKWY STE 350
BROOKLYN CENTER, MN 55430
Hennepin County (763) 503-8560
WHITNEY MARIE MCELHONE MS, LPCC
Counselor (Professional)
6200 SHINGLE CREEK PKWY STE 350
BROOKLYN CENTER, MN 55430
Hennepin County (763) 503-8560
KIMBERLY JEAN OFTEDAHL-BROOKS MSW, LICSW
Social Worker (Clinical)
6200 SHINGLE CREEK PKWY STE 350
BROOKLYN CENTER, MN 55430
Hennepin County (763) 503-8560
HEIDI JO HATHAWAY PSYD, LP
Psychologist (Clinical)
6200 SHINGLE CREEK PKWY STE 350
BROOKLYN CENTER, MN 55430
Hennepin County (763) 503-8560

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 Jackline Moriasi's NPI number?

The NPI number for Jackline Moriasi is 1326761842. It was assigned to this individual provider in the NPPES registry on September 20, 2022. The provider is also known as Jackline Monyangi Raini.

Where is Jackline Moriasi located?

Jackline Moriasi practices at 6200 Shingle Creek Pkwy Ste 350, Brooklyn Center, MN 55430. The listed phone number is (763) 503-8560.

What is Jackline Moriasi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jackline Moriasi enrolled in Medicare?

Yes. Jackline Moriasi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jackline Moriasi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jackline Moriasi reassigns Medicare benefits to Lyn-Lake Psychotherapy And Wellness Ltd. (Minneapolis, 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 Jackline Moriasi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jackline Moriasi accept?

Health plans from HealthPartners list Jackline Moriasi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jackline Moriasi was last updated on June 22, 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.