Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JENNA LYNN MOSCHEROSCH MS PAC
NPI 1356653760
Physician Assistant in Wyoming, MN

Active since July 14, 2010PECOS Enrolled
100/100
CMS Quality Rating
5200 FAIRVIEW BLVD, WYOMING, MN 55092(651) 982-7000 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 14, 2026, Mar 17, 2018 (2 updates tracked since 2018).

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 physician assistant in Wyoming, 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 3 additional practice locations.

NPPES Registry Identity

NPI1356653760
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNA LYNN MOSCHEROSCHCredential: MS PAC
Location Address5200 FAIRVIEW BLVDWyoming, MN 55092-8013
Mailing Address1700 University Ave WSaint Paul, MN 55104-3727 · (612) 672-5050
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 14, 2010
Last NPPES UpdateSeptember 14, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2026
✔ NPI 1356653760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MN · 11785
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 5601005802 (MI), 11785 (MN)
5200 FAIRVIEW BLVD, Wyoming, MN 55092

Other Names 1

Former Name (1)Jenna Lynn Lakus

Secondary Practice Locations 3

Location 15366 386th St NENorth Branch, MN 55056-5833 · Phone (651) 674-8353
Location 25701 Bow Pointe Dr, Suite 100Clarkston, MI 48346-3198 · Phone (248) 625-2621 · Fax (248) 625-8938
Location 314701 Victor Hugo Blvd NHugo, MN 55038-4561 · Phone (952) 853-8800

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55092 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
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 20

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

Rehabilitation Practitioner
5200 FAIRVIEW BLVD
WYOMING, MN 55092
Physician Assistant
5200 FAIRVIEW BLVD
WYOMING, MN 55092
Pediatrics
5200 FAIRVIEW BLVD
WYOMING, MN 55092
Podiatrist (Foot & Ankle Surgery)
5200 FAIRVIEW BLVD
WYOMING, MN 55092
Emergency Medicine
5200 FAIRVIEW BLVD
WYOMING, MN 55092
Nurse Practitioner (Family)
5200 FAIRVIEW BLVD
WYOMING, MN 55092
Speech-Language Pathologist
5200 FAIRVIEW BLVD
WYOMING, MN 55092
Pediatrics
5200 FAIRVIEW BLVD
WYOMING, MN 55092

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 5200 Fairview Blvd, Wyoming, MN 55092. The listed phone number is (651) 982-7000.

What is Jenna Moscherosch's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

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 September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.