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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JENNA MOULD FNP
NPI 1386481125
Nurse Practitioner - Family in Bronx, NY

Active since July 10, 2024PECOS Enrolled
866 E TREMONT AVE, BRONX, NY 10460(718) 589-4755 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 22, 2026, Jul 10, 2024 (2 updates tracked since 2024).

About Jenna Mould Fnp NPPES

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

JENNA MOULD FNP (NPI 1386481125) is an individual family provider in Bronx, New York, licensed in New York (354620) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1386481125
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNA MOULDCredential: FNP
Location Address866 E TREMONT AVEBronx, NY 10460-4201
Mailing Address1065 Southern BlvdBronx, NY 10459-2417
Phone(718) 589-4755
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 10, 2024
Last NPPES UpdateJuly 22, 20262 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1386481125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in NY · 354620✔ Licensed in CT · 17871
866 E TREMONT AVE, Bronx, NY 10460
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1882 Hunts Point AveBronx, NY 10474-5402 · Phone (718) 589-4755
Location 2374 Grand AveNew Haven, CT 06513-3733 · Phone (203) 777-7411

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 Mould Fnp 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 ID4284169475
PECOS Enrollment IDI20241125002864
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10460 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

866 MEDICAL GROUP
Anesthesiology (Pain Medicine)
866 E TREMONT AVE
BRONX, NY 10460
Bronx County (347) 515-0123
ELLIOT ENGELHARDT MS OTR/L
Occupational Therapist
866 E TREMONT AVE
BRONX, NY 10460
Bronx County (718) 589-2200
PROTHERAPY REHABILITATION OT, PT, SLP, PLLC
Clinic/Center (Rehabilitation)
866 E TREMONT AVE
BRONX, NY 10460
Bronx County (718) 589-2200
CHRISTINA NEROTH
Physician Assistant
866 E TREMONT AVE
BRONX, NY 10460
Bronx County (718) 589-2440

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 Mould's NPI number?

The NPI number for Jenna Mould is 1386481125. It was assigned to this individual provider in the NPPES registry on July 10, 2024.

Where is Jenna Mould located?

Jenna Mould practices at 866 E Tremont Ave, Bronx, NY 10460. The listed phone number is (718) 589-4755.

What is Jenna Mould's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jenna Mould enrolled in Medicare?

Yes. Jenna Mould 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.

When was this NPI record last updated?

The NPPES record for Jenna Mould was last updated on July 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.