JODIE MOSKOPF (PA-C) – Physician Assistant, NPI 1578850871
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,678 PHYSICIAN ASSISTANT in WI
Provider Addresses for JODIE MOSKOPF (PA-C)
725 American Ave Ste 5
Waukesha, WI 531885031
Phone: (262) 928-2475
Type: Location
725 AMERICAN AVE STE 5
WAUKESHA, WI 531885031
Phone: (262) 928-2475
Type: Location
6400 INDUSTRIAL LOOP
GREENDALE, WI 531292452
Phone: (414) 423-4100
Fax: (414) 423-4134
Type: Mailing
N15W28300 GOLF RD
PEWAUKEE, WI 530724800
Phone: (262) 303-5055
Fax: (262) 303-5057
Type: Location
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: 2011-07-22
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20110722000656 | I | Physician Assistant | WI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 53188)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | IL | |
| Orthopedic Surgery | WI | |
| Occupational Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | IL | |
| Occupational Therapist In Private Practice | OR | |
| Physical Therapist In Private Practice | WI | |
| Orthopedic Surgery | WI | |
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | WI | |
| Orthopedic Surgery | WI |
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