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KELSEY-JO AUDREY MOSS CPNP-PC
NPI 1477197705
Nurse Practitioner - Pediatrics in Portland, OR

Active since October 30, 2019PECOS Enrolled
704B NE 62ND AVE, PORTLAND, OR 97213(971) 400-7350 Get Directions Write a Review

NPPES record last updated: October 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelsey-jo Audrey Moss Cpnp-pc NPPES

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

KELSEY-JO AUDREY MOSS CPNP-PC (NPI 1477197705) is an individual pediatrics provider in Portland, Oregon, licensed in Oregon (201907307NP-PP) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477197705
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKELSEY-JO AUDREY MOSSCredential: CPNP-PC
Location Address704B NE 62ND AVEPortland, OR 97213-4351
Mailing Address704b Ne 62nd AvePortland, OR 97213-4351 · (971) 400-7350
Phone(971) 400-7350
Sole ProprietorNo
Enumeration DateOctober 30, 2019
✔ NPI 1477197705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in OR · 201907307NP-PP
704B NE 62ND AVE, Portland, OR 97213
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Other Names 1

Former Name (1)Kelsey-jo Audrey Hodges

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.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)

Kelsey-jo Audrey Moss Cpnp-pc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97213 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

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 Kelsey-jo Moss's NPI number?

The NPI number for Kelsey-jo Moss is 1477197705. It was assigned to this individual provider in the NPPES registry on October 30, 2019. The provider is also known as Kelsey-Jo Audrey Hodges.

Where is Kelsey-jo Moss located?

Kelsey-jo Moss practices at 704B NE 62nd Ave, Portland, OR 97213. The listed phone number is (971) 400-7350.

What is Kelsey-jo Moss's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kelsey-jo Moss enrolled in Medicare?

Yes. Kelsey-jo Moss is registered in the Medicare PECOS enrollment system.

What insurance does Kelsey-jo Moss accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kelsey-jo Moss 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 Kelsey-jo Moss was last updated on October 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.