JENNA MOE AA
NPI 1811606304
Anesthesiologist Assistant in Milwaukee, WI

Active since November 23, 2022Accepts Medicare Assignment
945 N 12TH ST, MILWAUKEE, WI 53233(414) 219-2000(414) 385-1590 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 4, 2023, Mar 24, 2023, Nov 23, 2022 (3 updates tracked since 2022).

About Jenna Moe Aa NPPES

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

JENNA MOE AA (NPI 1811606304) is an individual anesthesiologist assistant in Milwaukee, Wisconsin, licensed in Wisconsin (511) and active in the NPI registry since November 2022. She is affiliated with Aurora St Lukes Medical Center and is a graduate of Other (2022).

NPPES Registry Identity

NPI1811606304
Entity TypeIndividualFemale
Primary Taxonomy367H00000X
Provider Legal NameJENNA MOECredential: AA
Location Address945 N 12TH STMilwaukee, WI 53233-1305
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (414) 219-2000 · Fax (414) 385-1590
Fax(414) 385-1590
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 23, 2022
Last NPPES UpdateFebruary 23, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2026
NPI 1811606304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License Licensed in WI · 511
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
945 N 12TH ST, Milwaukee, WI 53233

Other Names 1

Former Name (1)Jenna O'brien

Other Identifiers 1

Medicaid100228527WI

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

Jenna Moe Aa 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 ID4981073202
PECOS Enrollment IDI20221208002047

Hospital Affiliations CMS Care Compare

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

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

Family Medicine
945 N 12TH ST
MILWAUKEE, WI 53233
Nurse Practitioner
945 N 12TH ST
MILWAUKEE, WI 53233
Physician Assistant
945 N 12TH ST
MILWAUKEE, WI 53233
Emergency Medicine
945 N 12TH ST
MILWAUKEE, WI 53233
Registered Nurse
945 N 12TH ST
MILWAUKEE, WI 53233
Registered Nurse (Registered Nurse First Assistant)
945 N 12TH ST
MILWAUKEE, WI 53233
Clinic/Center (Federally Qualified Health Center (FQHC))
945 N 12TH ST, URGENT CARE
MILWAUKEE, WI 53233
Anesthesiologist Assistant
945 N 12TH ST
MILWAUKEE, WI 53233

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 Moe's NPI number?

The NPI number for Jenna Moe is 1811606304. It was assigned to this individual provider in the NPPES registry on November 23, 2022. The provider is also known as Jenna O'brien.

Where is Jenna Moe located?

Jenna Moe practices at 945 N 12th St, Milwaukee, WI 53233. The listed phone number is (414) 219-2000.

What is Jenna Moe's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Jenna Moe enrolled in Medicare?

Yes. Jenna Moe 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 Jenna Moe accept?

Health plans from CareSource (Common Ground Healthcare) list Jenna Moe 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 Jenna Moe affiliated with any hospitals?

According to CMS data, Jenna Moe is affiliated with Aurora St Lukes Medical Center.

When was this NPI record last updated?

The NPPES record for Jenna Moe was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.