BROOKE ALEXANDRA STEIN MOSS (PA-C) – Physician Assistant, NPI 1316346950
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,032 PHYSICIAN ASSISTANT in MN
Provider Addresses for BROOKE ALEXANDRA STEIN MOSS (PA-C)
801 YORK ST
MANITOWOC, WI 542204630
Phone: (920) 663-9008
Fax: (920) 684-1439
Type: Mailing
21410 136TH AVE STE 105A
ROGERS, MN 553744921
Phone: (763) 515-6200
Fax: (763) 515-6202
Type: Location
2 CARLSON PKWY N STE 240
PLYMOUTH, MN 554474485
Phone: (763) 746-0030
Fax: (763) 367-7977
Type: Mailing
4100 W 50TH ST
EDINA, MN 55424
Phone: (952) 929-8888
Fax: (952) 929-9669
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $135.
Total Amount is formed as General ($135) + Research ($0) + Ownership ($0) = $135.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Janssen Biotech, Inc. ($21).
Total Amount
$135
General + Research + Ownership
Payments
9
Total payment records
General Amount
$135
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $21 |
| Incyte Corporation | $19 |
| Lilly USA, LLC | $19 |
| ABBVIE INC. | $18 |
| STRATA Skin Sciences, Inc. | $18 |
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: 2016-01-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160128002731 | I | Physician Assistant | MN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 150 | 101 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 120 | 34 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 75 | 57 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 60 | 57 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 56 | 56 | $0 |
Insurance plans in this area (ZIP 54220)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Physician Assistant | VA | |
| - | VA | |
| D E R M A T O L O G Y | TX | |
| - | WI | |
| D E R M A T O L O G Y | AL | |
| D E R M A T O L O G Y | WI | |
| - | WI | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | WA |
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