Jackline Monyangi Moriasi, MSN, PMHNP-BC in Brooklyn Center, MN

Jackline Monyangi Moriasi, MSN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Brooklyn Center, Minnesota. Her current practice location is 6200 Shingle Creek Pkwy Ste 350, Brooklyn Center, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 503-8560.

Jackline Monyangi Moriasi is licensed to practice in Minnesota (license number 10108) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1326761842.

Contact Information

	Jackline Monyangi Moriasi, MSN, PMHNP-BC
	6200 Shingle Creek Pkwy Ste 350, Brooklyn Center, MN 55430-2155
	(763) 503-8560
	(763) 503-8563

Map and Direction

Provider's Profile

Full Name	Jackline Monyangi Moriasi
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	6200 Shingle Creek Pkwy Ste 350, Brooklyn Center, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326761842
Provider Enumeration Date: 09/20/2022
Last Update Date: 06/22/2023

Medicare PECOS Information:

PECOS PAC ID: 7416329420
Enrollment ID: I20230802002019

Medical Identifiers

Medical identifiers for Jackline Monyangi Moriasi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326761842	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	10108 (Minnesota)	Primary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN312890 (Georgia)	Secondary
163W00000X	Registered Nurse	1699478 (Minnesota)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jackline Monyangi Moriasi allows following entities to bill medicare on her behalf.

Entity Name	Associated Clinic Of Psychology Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588741292 PECOS PAC ID: 0749171320 Enrollment ID: O20040323000833

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jackline Monyangi Moriasi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jackline Monyangi Moriasi, MSN, PMHNP-BC 4240 Park Glen Rd, St Louis Park, MN 55416-5427 Ph: (612) 925-6033	Jackline Monyangi Moriasi, MSN, PMHNP-BC 6200 Shingle Creek Pkwy Ste 350, Brooklyn Center, MN 55430-2155 Ph: (763) 503-8560

Reviews and Comments

Nurse Practitioner Nurses in Brooklyn Center, MN

Andrew James Wiechman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5615 Xerxes Ave N Ste D, Brooklyn Center, MN 55430 Phone: 763-581-5630 Fax: 763-581-5631
Miriam A Osammor, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7030 Brooklyn Blvd, Brooklyn Center, MN 55429 Phone: 763-412-9848
Ms. Laura Marie Mollenhoff, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6000 Earle Brown Dr, Brooklyn Center, MN 55430 Phone: 952-993-4900
Dr. Sanouk Xiong, DNP, NP-C FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4112 Joyce Ln, Brooklyn Center, MN 55429 Phone: 763-742-9757
Michelle Busch I, A.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6200 Shingle Creek Pkwy, Suite 260, Brooklyn Center, MN 55430 Phone: 763-561-5349
Linda B Wright, RN, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6601 Shingle Creek Pkwy, Ste 400, Brooklyn Center, MN 55430 Phone: 612-873-8800
Kathryn Claire Schulz, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6000 Earle Brown Dr, Brooklyn Center, MN 55430 Phone: 952-993-7340 Fax: 952-993-0300

Jackline Monyangi Moriasi, MSN, PMHNP-BC - Medicare Nurse Practitioner in Brooklyn Center, MN