JENNA LYNN MOSCHEROSCH (MS PAC) – Medical Physician Assistant, NPI 1356653760

JENNA LYNN MOSCHEROSCH (MS PAC) is a healthcare provider. based in Hugo, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials MS PAC. They hold a License No. 5601005802 (MI). The NPI Number for JENNA LYNN MOSCHEROSCH (MS PAC) is 1356653760

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
JENNA LYNN MOSCHEROSCH (MS PAC)
NPI
1356653760
Phone
(952) 853-8800
Address
14701 Victor Hugo Blvd N
Enumeration Date
14 July 2010
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6519827980
Graduation Year
2010 (16 years ago)
PAC ID
2163619008
Group Practice PAC ID
1951213057
Professional Enrollment ID
I20150421001450
Address ID
MN550928013WY5200XBLVD302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:15State licenses:2Digital endpointsOther names

4,031 PHYSICIAN ASSISTANT in MN

Provider Addresses for JENNA LYNN MOSCHEROSCH (MS PAC)

  • 14701 Victor Hugo Blvd N

    Hugo, MN 550384561

    Phone: (952) 853-8800

    Type: Location

  • 5701 Bow Pointe Dr

    Suite 100

    Clarkston, MI 483463198

    Phone: (248) 625-2621

    Fax: (248) 625-8938

    Type: Location

  • 8170 33RD AVE S # MS 21110Q

    MINNEAPOLIS, MN 554254516

    Phone: (952) 853-8800

    Type: Mailing

  • 5366 386TH ST NE

    NORTH BRANCH, MN 550565833

    Phone: (651) 674-8353

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $9.

Total Amount is formed as General ($9) + Research ($0) + Ownership ($0) = $9.

Last reported payment date: 2023-11-07 • Largest payer in this snapshot: Organon LLC ($9).

Total Amount

$9

General + Research + Ownership

Payments

1

Total payment records

General Amount

$9

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Organon LLC$9
View all Open Payments →|Open Payments Risk Radar →

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: 2015-04-21

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
I20150421001450IPhysician AssistantMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2827$0
99214Established patient office or other outpatient visit, 30-39 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 55038)

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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: 1951213057View full group profile

Reviews

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Frequently asked questions

What identifier follows JENNA LYNN MOSCHEROSCH (MS PAC) across health systems?
The NPI 1356653760 uniquely identifies JENNA LYNN MOSCHEROSCH (MS PAC) in U.S. healthcare data.
Does the public listing show JENNA LYNN MOSCHEROSCH (MS PAC) as active?
JENNA LYNN MOSCHEROSCH (MS PAC)'s NPI record reflects an active status in NPPES.
What does the directory say JENNA LYNN MOSCHEROSCH (MS PAC) does?
Insurance directories may phrase it differently, but here JENNA LYNN MOSCHEROSCH (MS PAC) maps to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is JENNA LYNN MOSCHEROSCH (MS PAC) tied to Hugo, Minnesota?
If you are local to Hugo, Minnesota, JENNA LYNN MOSCHEROSCH (MS PAC) may be relevant to your search.
Who maintains JENNA LYNN MOSCHEROSCH (MS PAC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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