JACQUELINE FAITH MOORE PA-C
NPI 1679945000
Physician Assistant in Albany, OR

Active since October 26, 2015PECOS EnrolledAccepts Medicare Assignment
400 HICKORY ST NW STE 303, ALBANY, OR 97321(541) 812-5275 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2023, May 24, 2021, Mar 15, 2021 and 3 more (6 updates tracked since 2018).

About Jacqueline Faith Moore Pa-c NPPES

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

JACQUELINE FAITH MOORE PA-C (NPI 1679945000) is an individual physician assistant in Albany, Oregon, licensed in Oregon (PA175138) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, is affiliated with Samaritan Albany General Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1679945000
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJACQUELINE FAITH MOORECredential: PA-C
Location Address400 HICKORY ST NW STE 303Albany, OR 97321-1700
Mailing AddressPo Box 1189Corvallis, OR 97339-1189 · (541) 768-7999
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 26, 2015
Last NPPES UpdateNovember 20, 20236 updates tracked since enumeration
NPPES CertifiedNovember 20, 2023
NPI 1679945000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OR · PA175138
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.
400 HICKORY ST NW STE 303, Albany, OR 97321

Other Names 1

Former Name (1)Jacqueline Fitch Pa-c

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

Jacqueline Faith Moore Pa-c 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 ID9638479124
PECOS Enrollment IDI20151207001133
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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services35 patients

Hospital Affiliations CMS Care Compare

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

Samaritan Albany General Hospital

Acute Care Hospitals · Albany, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380022
Location1046 6th Avenue SWAlbany, OR 97321 · Linn County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97321 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories A6550
DME-Other DME · category DE000N
2 suppliers11 claims95 services$21.55 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Family Medicine
400 HICKORY ST NW STE 303
ALBANY, OR 97321
Nurse Practitioner (Family)
400 HICKORY ST NW STE 303
ALBANY, OR 97321
Nurse Practitioner (Family)
400 HICKORY ST NW STE 303
ALBANY, OR 97321
Family Medicine
400 HICKORY ST NW STE 303
ALBANY, OR 97321
Nurse Practitioner (Primary Care)
400 HICKORY ST NW STE 303
ALBANY, OR 97321
Family Medicine
400 HICKORY ST NW STE 303
ALBANY, OR 97321
Physician Assistant
400 HICKORY ST NW STE 303
ALBANY, OR 97321
Physician Assistant
400 HICKORY ST NW STE 303
ALBANY, OR 97321

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 Jacqueline Moore's NPI number?

The NPI number for Jacqueline Moore is 1679945000. It was assigned to this individual provider in the NPPES registry on October 26, 2015. The provider is also known as Jacqueline Fitch Pa-C.

Where is Jacqueline Moore located?

Jacqueline Moore practices at 400 Hickory St NW Ste 303, Albany, OR 97321. The listed phone number is (541) 812-5275.

What is Jacqueline Moore's specialty?

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

Is Jacqueline Moore enrolled in Medicare?

Yes. Jacqueline Moore 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 Jacqueline Moore accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Jacqueline Moore 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 Jacqueline Moore affiliated with any hospitals?

According to CMS data, Jacqueline Moore is affiliated with Samaritan Albany General Hospital.

When was this NPI record last updated?

The NPPES record for Jacqueline Moore was last updated on November 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.