JENNA LYNN MOSCHEROSCH MS PAC
NPI 1356653760
Physician Assistant - Medical in North Branch, MN

Active since July 14, 2010PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
5366 386TH ST NE, NORTH BRANCH, MN 55056(651) 674-8353 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jenna Lynn Moscherosch Ms Pac NPPES

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

JENNA LYNN MOSCHEROSCH MS PAC (NPI 1356653760) is an individual medical provider in North Branch, Minnesota, licensed in Minnesota (11785) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Fairview Lakes Health Services, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1356653760
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJENNA LYNN MOSCHEROSCHCredential: MS PAC
Location Address5366 386TH ST NENorth Branch, MN 55056-5833
Mailing Address8170 33rd Ave S # Ms 21110qMinneapolis, MN 55425-4516 · (952) 853-8800
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 14, 2010
Last NPPES UpdateMarch 17, 2018
NPI 1356653760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in MN · 11785 Licensed in MI · 5601005802
5366 386TH ST NE, North Branch, MN 55056

Other Names 1

Former Name (1)Jenna Lynn Lakus

Secondary Practice Locations 2

Location 114701 Victor Hugo Blvd NHugo, MN 55038-4561 · Phone (952) 853-8800
Location 25701 Bow Pointe Dr, Suite 100Clarkston, MI 48346-3198 · Phone (248) 625-2621 · Fax (248) 625-8938

Other Identifiers 1

Other1156321600MI · Bcbs Ind

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jenna Lynn Moscherosch Ms Pac 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.

PECOS PAC ID2163619008
PECOS Enrollment IDI20150421001450
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Fairview Lakes Health Services

Acute Care Hospitals · Wyoming, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240050
Location5200 Fairview BoulevardWyoming, MN 55092 · Chisago County
Emergency services Birthing friendly

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.09
Promoting Interoperability100
Improvement Activities40
Cost84.72

Other Providers at the Same Location NPPES 15

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

Family Medicine
5366 386TH ST NE
NORTH BRANCH, MN 55056
Non-Pharmacy Dispensing Site
5366 386TH ST NE
NORTH BRANCH, MN 55056
Nurse Practitioner (Women's Health)
5366 386TH ST NE
NORTH BRANCH, MN 55056
Family Medicine
5366 386TH ST NE
NORTH BRANCH, MN 55056
Nurse Practitioner (Family)
5366 386TH ST NE
NORTH BRANCH, MN 55056
Nurse Practitioner (Adult Health)
5366 386TH ST NE
NORTH BRANCH, MN 55056
Optometrist
5366 386TH ST NE
NORTH BRANCH, MN 55056
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
5366 386TH ST NE
NORTH BRANCH, MN 55056

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 Jenna Moscherosch's NPI number?

The NPI number for Jenna Moscherosch is 1356653760. It was assigned to this individual provider in the NPPES registry on July 14, 2010. The provider is also known as Jenna Lynn Lakus.

Where is Jenna Moscherosch located?

Jenna Moscherosch practices at 5366 386th St NE, North Branch, MN 55056. The listed phone number is (651) 674-8353.

What is Jenna Moscherosch's specialty?

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

Is Jenna Moscherosch enrolled in Medicare?

Yes. Jenna Moscherosch 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.

What insurance does Jenna Moscherosch accept?

Health plans from Medica and Sanford Health Plan list Jenna Moscherosch 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.

Is Jenna Moscherosch affiliated with any hospitals?

According to CMS data, Jenna Moscherosch is affiliated with Fairview Lakes Health Services.

When was this NPI record last updated?

The NPPES record for Jenna Moscherosch was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.