JACLYN MARIE MOOR AUD
NPI 1689273856
Audiologist in Palo Alto, CA

Active since October 20, 2020
2452 WATSON CT STE 1700, PALO ALTO, CA 94303(650) 723-5281 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 13, 2026, Oct 20, 2020 (2 updates tracked since 2020).

About Jaclyn Marie Moor Aud NPPES

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

JACLYN MARIE MOOR AUD (NPI 1689273856) is an individual audiologist in Palo Alto, California, licensed in California (AU3276) and active in the NPI registry since October 2020. She maintains a secondary practice location in San Jose and is a graduate of University Of Arizona College Of Medicine (2017).

NPPES Registry Identity

NPI1689273856
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameJACLYN MARIE MOORCredential: AUD
Location Address2452 WATSON CT STE 1700Palo Alto, CA 94303-3216
Mailing Address2452 Watson Ct Ste 1700Palo Alto, CA 94303-3216 · (650) 723-5281
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2017
Enumeration DateOctober 20, 2020
Last NPPES UpdateApril 13, 20262 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
✔ NPI 1689273856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in CA · AU3276
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
2452 WATSON CT STE 1700, Palo Alto, CA 94303

Secondary Practice Location 1

Location 12585 Samaritan Dr Ste 10San Jose, CA 95124-4107 · Phone (650) 723-5281

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaclyn Marie Moor Aud is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820575681
PECOS Enrollment IDI20260122003063

Medicare Billing Reassignments

2

Medicare enrollment records show Jaclyn Moor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
300 PASTEUR DRIVE
Stanford, CA 94305
  • Reassigned Medicare billing, California enrollment
  • 4,258 clinicians in this Medicare group
Internal Medicine
7999 GATEWAY BLVD STE 200
Newark, CA 94560
  • Reassigned Medicare billing, California enrollment
  • 435 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Audiologist
2452 WATSON CT STE 1700
PALO ALTO, CA 94303
Audiologist-Hearing Aid Fitter
2452 WATSON CT STE 1700
PALO ALTO, CA 94303
Audiologist
2452 WATSON CT STE 1700
PALO ALTO, CA 94303
Audiologist
2452 WATSON CT STE 1700
PALO ALTO, CA 94303

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 Jaclyn Moor's NPI number?

The NPI number for Jaclyn Moor is 1689273856. It was assigned to this individual provider in the NPPES registry on October 20, 2020.

Where is Jaclyn Moor located?

Jaclyn Moor practices at 2452 Watson Ct Ste 1700, Palo Alto, CA 94303. The listed phone number is (650) 723-5281.

What is Jaclyn Moor's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Jaclyn Moor enrolled in Medicare?

Yes. Jaclyn Moor is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jaclyn Moor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Moor reassigns Medicare benefits to 2 organizations: Stanford Health Care (Stanford, CA) and University Healthcare Alliance (Newark, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jaclyn Moor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jaclyn Moor was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.