JACQUELINE MORAA MOGUSU
NPI 1881162527
General Practice in Carrollton, TX

Q: What is Jacqueline Mogusu's NPI number?

The NPI number for Jacqueline Mogusu is 1881162527. It was assigned to this individual provider in the NPPES registry on November 12, 2018.

Q: What is Jacqueline Mogusu's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Mogusu was last updated on July 16, 2024. 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.

Active since November 12, 2018PECOS Enrolled

4541 N JOSEY LN STE 110, CARROLLTON, TX 75010(469) 788-8588(469) 788-7800 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 16, 2024, Nov 3, 2023, Mar 19, 2021 and 2 more (5 updates tracked since 2018).

On this page

About Jacqueline Moraa Mogusu NPPES

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

JACQUELINE MORAA MOGUSU (NPI 1881162527) is an individual general practice provider in Carrollton, Texas, licensed in Texas (AP138452) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1881162527

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameJACQUELINE MORAA MOGUSU

Location Address4541 N JOSEY LN STE 110Carrollton, TX 75010-4622

Mailing AddressPo Box 12187Augusta, GA 30914-2187 · (706) 863-9595 · Fax (706) 868-8375

Phone(469) 788-8588

Fax(469) 788-7800

Sole ProprietorNo

Enumeration DateNovember 12, 2018

Last NPPES UpdateJuly 16, 20245 updates tracked since enumeration

NPPES CertifiedNovember 3, 2023

✔ NPI 1881162527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in TX · AP138452

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedFamily MedicineTaxonomy 207Q00000X · License AP138452 (TX)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP138452 (TX)

4541 N JOSEY LN STE 110, Carrollton, TX 75010

Open in Google Maps ↗

Secondary Practice Locations 4

Location 113472 Eastlake Blvd Ste AHorizon City, TX 79928-6320 · Phone (915) 313-6300

Location 24323 N Josey Ln Ste 110Carrollton, TX 75010-4619 · Phone (469) 788-8588 · Fax (469) 788-7800

Location 31600 Coit Rd Ste 305Plano, TX 75075-6172 · Phone (706) 863-9595 · Fax (706) 868-8375

Location 43901 W 15th StPlano, TX 75075-7738 · Phone (706) 863-9595 · Fax (706) 868-8375

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Texas, Oscar Insurance Company.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)

Jacqueline Moraa Mogusu 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.

Areas of Expertise CMS Part B claims 2

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.

77 services28 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

27 services26 patients

Other Providers at the Same Location NPPES 12

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

LITTLE LANTERN CLINIC LLC

General Practice