CARLY JO MORAN
NPI 1902530058
Physician Assistant in Omaha, NE

Active since July 14, 2022PECOS EnrolledAccepts Medicare Assignment
42ND AND EMILE, OMAHA, NE 68198(402) 559-4000 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Carly Jo Moran NPPES

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

CARLY JO MORAN (NPI 1902530058) is an individual physician assistant in Omaha, Nebraska, licensed in Nebraska (3049) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with The Nebraska Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1902530058
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCARLY JO MORAN
Location Address42ND AND EMILEOmaha, NE 68198-0001
Mailing Address1337 W Whitechurch LnSioux Falls, SD 57108-3322
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 14, 2022
Last NPPES UpdateAugust 25, 2025
NPPES CertifiedAugust 25, 2025
NPI 1902530058 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 NE · 3049
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.

42ND AND EMILE, Omaha, NE 68198

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

Carly Jo Moran 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 ID2769827658
PECOS Enrollment IDI20240301001108
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.

Hospital Affiliations CMS Care Compare

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

The Nebraska Medical Center

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280013
Location987400 Nebraska Medical CenterOmaha, NE 68198 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68198 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
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.

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.

Radiology (Diagnostic Ultrasound)
42ND AND EMILE
OMAHA, NE 68198
Student in an Organized Health Care Education/Training Program
42ND AND EMILE
OMAHA, NE 68198
Psychiatry & Neurology (Neurology)
42ND AND EMILE
OMAHA, NE 68198
Student in an Organized Health Care Education/Training Program
42ND AND EMILE
OMAHA, NE 68198
General Acute Care Hospital
42ND AND EMILE
OMAHA, NE 68198
Student in an Organized Health Care Education/Training Program
42ND AND EMILE
OMAHA, NE 68198
Student in an Organized Health Care Education/Training Program
42ND AND EMILE
OMAHA, NE 68198
Nurse Practitioner
42ND AND EMILE
OMAHA, NE 68198

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902530058, enumerated as an "individual" on July 14, 2022.

The provider is located at 42ND AND EMILE OMAHA, NE 68198 and the phone number is (402) 559-4000.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Nebraska, Medica,. Please consult your insurance carrier or call the provider to verify.

Carly Moran is affiliated with: THE NEBRASKA MEDICAL CENTER.