JACQUELINE SUSAN MOE APNP
NPI 1902995251
Nurse Practitioner - Family in Keshena, WI

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment
W3275 WOLF RIVER DR, KESHENA, WI 54135(715) 799-3361 Get Directions Write a Review

NPPES record last updated: July 29, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jacqueline Susan Moe Apnp NPPES

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

JACQUELINE SUSAN MOE APNP (NPI 1902995251) is an individual family provider in Keshena, Wisconsin, licensed in Wisconsin (2966-033) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1902995251
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACQUELINE SUSAN MOECredential: APNP
Location AddressW3275 WOLF RIVER DRKeshena, WI 54135-9202
Mailing AddressPo Box 970Keshena, WI 54135-0970 · (715) 799-3361 · Fax (715) 799-5854
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateOctober 12, 2006
Last NPPES UpdateJuly 29, 2020
NPPES CertifiedJuly 29, 2020
NPI 1902995251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WI · 2966-033
Also ListedNurse PractitionerTaxonomy 363L00000X · License 2966-033 (WI)
W3275 WOLF RIVER DR, Keshena, WI 54135

Other Identifiers 1

Medicaid36015400WI

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

Jacqueline Susan Moe Apnp 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 ID4385642081
PECOS Enrollment IDI20061113000238
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 7

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 10-19 minutes 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
45 services41 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
45 services35 patients
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc U0002
This refers to a test for COVID-19, caused by the SARS-CoV-2 virus. The test identifies multiple types or subtypes of the virus, including all targets. It's not specifically based on the CDC's testing protocol. It helps determine if you're currently infected with the virus.
44 services43 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
29 services27 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
14 services14 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520045
Location130 2nd StNeenah, WI 54956 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54135 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
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 12

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

Social Worker (Clinical)
W3275 WOLF RIVER DR
KESHENA, WI 54135
Counselor (Professional)
W3275 WOLF RIVER DR
KESHENA, WI 54135
Family Medicine
W3275 WOLF RIVER DR
KESHENA, WI 54135
Family Medicine
W3275 WOLF RIVER DR
KESHENA, WI 54135
Counselor (Professional)
W3275 WOLF RIVER DR
KESHENA, WI 54135
Social Worker
W3275 WOLF RIVER DR
KESHENA, WI 54135
Clinic/Center (Mental Health (Including Community Mental Health Center))
W3275 WOLF RIVER DR
KESHENA, WI 54135
Nurse Practitioner (Family)
W3275 WOLF RIVER DR
KESHENA, WI 54135

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902995251, enumerated as an "individual" on October 12, 2006.

The provider is located at W3275 WOLF RIVER DR KESHENA, WI 54135 and the phone number is (715) 799-3361.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Security Health. Please consult your insurance carrier or call the provider to verify.

Jacqueline Moe is affiliated with: THEDACARE REGIONAL MED CTR - NEENAH.