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

Q: 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.

Q: 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.

Q: 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.

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: August 30, 2026.

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

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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

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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.