JESSICA LYNN MORAN (FNP-CB) – Family Nurse Practitioner, NPI 1245056167

JESSICA LYNN MORAN (FNP-CB) is a healthcare provider. based in Chandler, Arizona. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-CB. They hold a License No. RN124127 (AZ). The NPI Number for JESSICA LYNN MORAN (FNP-CB) is 1245056167

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA LYNN MORAN (FNP-CB)
NPI
1245056167
Phone
(602) 795-8700
Address
725 S DOBSON RD STE 100
Enumeration Date
25 November 2024
Last Update Date
5 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6027958700
Graduation Year
2024 (2 years ago)
PAC ID
5193224244
Group Practice PAC ID
7214251396
Professional Enrollment ID
I20250815004516
Address ID
AZ852245676CH725XXRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

7,509 NURSE PRACTITIONER in AZ

Provider Addresses for JESSICA LYNN MORAN (FNP-CB)

  • 725 S DOBSON RD STE 100

    CHANDLER, AZ 852245676

    Phone: (602) 795-8700

    Fax: (602) 795-8701

    Type: Location

  • 20280 N 59TH AVE STE 115-617

    GLENDALE, AZ 853086850

    Phone: (602) 795-8710

    Fax: (602) 795-8701

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250815004516INurse PractitionerAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 85224)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214251396View full group profile
NameSpecialtyState
Anesthesiology, Interventional Pain ManagementCO
Pain Management, AnesthesiologyAZ
Physician AssistantAZ
Nurse PractitionerAZ
Pain Management, AnesthesiologyAZ
C H I R O P R A C T I CAZ
Nurse PractitionerCA
Nurse PractitionerAZ
-AZ
-CO

Reviews

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Frequently asked questions

What NPI should I save for JESSICA LYNN MORAN (FNP-CB)?
Save NPI 1245056167 if you need a stable reference for JESSICA LYNN MORAN (FNP-CB).
Is JESSICA LYNN MORAN (FNP-CB)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does JESSICA LYNN MORAN (FNP-CB) work in?
You can think of JESSICA LYNN MORAN (FNP-CB) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for JESSICA LYNN MORAN (FNP-CB)?
The page summarizes Chandler, Arizona for JESSICA LYNN MORAN (FNP-CB); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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