DR. JACQUELINE DENISE MOSES M.D.
NPI 1699714279
Psychiatry & Neurology - Psychiatry in Dewitt, MI

Active since June 06, 2006PECOS Enrolled
12508 BURLINGAME DR, DEWITT, MI 48820(517) 669-8110 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jacqueline Denise Moses M.d. NPPES

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

DR. JACQUELINE DENISE MOSES M.D. (NPI 1699714279) is an individual psychiatry provider in Dewitt, Michigan, licensed in Michigan (4301080311) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699714279
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. JACQUELINE DENISE MOSESCredential: M.D.
Location Address12508 BURLINGAME DRDewitt, MI 48820-7905
Mailing Address12508 Burlingame DrDewitt, MI 48820-7905 · (517) 669-8110
Sole ProprietorNo
Enumeration DateJune 6, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1699714279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MI · 4301080311
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
12508 BURLINGAME DR, Dewitt, MI 48820

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacqueline Denise Moses M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline Moses reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
475 S STATE ST
Sparta, MI 49345
  • Reassigned Medicare billing, Michigan enrollment
  • 92 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48820 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
$166.68 typical visit price
range $54.34 – $166.68
Typical copayment $41.67 (range $13.58 – $41.67)
Most-billed visit code 99205
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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 Moses's NPI number?

The NPI number for Jacqueline Moses is 1699714279. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Jacqueline Moses located?

Jacqueline Moses practices at 12508 Burlingame Dr, Dewitt, MI 48820. The listed phone number is (517) 669-8110.

What is Jacqueline Moses's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jacqueline Moses enrolled in Medicare?

Yes. Jacqueline Moses is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacqueline Moses's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Moses reassigns Medicare benefits to Mercy Health Partners (Sparta, MI). The 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 Jacqueline Moses's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Moses accept?

Health plans from Blue Cross and Blue Shield of Alabama, Cigna Healthcare, Molina Healthcare and Priority Health list Jacqueline Moses 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 Jacqueline Moses was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.