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: August 16, 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

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.
27 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Thedacare Medical Center - Shawano

Critical Access Hospitals · Shawano, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521346
Location100 County Rd BShawano, WI 54166 · Shawano 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 13

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

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

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 Moe's NPI number?

The NPI number for Jacqueline Moe is 1902995251. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Jacqueline Moe located?

Jacqueline Moe practices at W3275 Wolf River Dr, Keshena, WI 54135. The listed phone number is (715) 799-3361.

What is Jacqueline Moe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jacqueline Moe enrolled in Medicare?

Yes. Jacqueline 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 Jacqueline Moe accept?

Health plans from Anthem Blue Cross and Blue Shield, Security Health Plan and UnitedHealthcare list Jacqueline 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 Jacqueline Moe affiliated with any hospitals?

According to CMS data, Jacqueline Moe is affiliated with Thedacare Regional Med Ctr - Neenah and Thedacare Medical Center - Shawano.

When was this NPI record last updated?

The NPPES record for Jacqueline Moe was last updated on July 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.