BROOKE ALEXANDRA STEIN MOSS (PA-C) – Physician Assistant, NPI 1316346950

BROOKE ALEXANDRA STEIN MOSS (PA-C) is a healthcare provider. based in Manitowoc, Wisconsin. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 11856 (MN). The NPI Number for BROOKE ALEXANDRA STEIN MOSS (PA-C) is 1316346950

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
BROOKE ALEXANDRA STEIN MOSS (PA-C)
NPI
1316346950
Phone
(920) 663-9008
Address
801 YORK ST
Enumeration Date
20 August 2014
Last Update Date
11 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7635156200
Graduation Year
2014 (12 years ago)
PAC ID
6305068198
Group Practice PAC ID
3779471701
Professional Enrollment ID
I20160128002731
Address ID
MN553744921RO21410AVEX301

Contacts

Secure Messaging
Brooke.Moss@forefrontdermatology.emadirect.md
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

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

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: 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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160128002731IPhysician 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 minutes150101$0
17003Destruction of precancer skin growth, 2-14 growths12034$0
17000Destruction of precancer skin growth, 1 growth7557$0
11102Biopsy of related skin growth, first growth6057$0
99203New patient office or other outpatient visit, 30-44 minutes5656$0
View full utilization report →

Insurance plans in this area (ZIP 54220)

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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: 3779471701View full group profile
NameSpecialtyState
-WI
Physician AssistantVA
-VA
D E R M A T O L O G YTX
-WI
D E R M A T O L O G YAL
D E R M A T O L O G YWI
-WI
Physician AssistantNY
D E R M A T O L O G YWA

Reviews

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Frequently asked questions

Where can patients find BROOKE ALEXANDRA STEIN MOSS (PA-C)'s NPI?
You can confirm BROOKE ALEXANDRA STEIN MOSS (PA-C) with NPI 1316346950; it appears in the national provider directory.
Is BROOKE ALEXANDRA STEIN MOSS (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does BROOKE ALEXANDRA STEIN MOSS (PA-C) work in?
You can think of BROOKE ALEXANDRA STEIN MOSS (PA-C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place BROOKE ALEXANDRA STEIN MOSS (PA-C)?
The snapshot lists Manitowoc, Wisconsin for BROOKE ALEXANDRA STEIN MOSS (PA-C); download NPPES for the complete set.
What if Manitowoc, Wisconsin seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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