Jacob Moore, PA-C - Medicare Physician Assistant in New Brighton, MN

Jacob Moore, PA-C is a medicare enrolled "Physician Assistant" in New Brighton, Minnesota. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Nystrom And Associates Ltd and his current practice location is 1900 Silver Lake Rd Nw, Suite 110, New Brighton, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 628-9566.

Jacob Moore is licensed to practice in Minnesota (license number ) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1851780928.

Contact Information

Jacob Moore, PA-C
1900 Silver Lake Rd Nw, Suite 110,
New Brighton, MN 55112-1786
(651) 628-9566
(651) 628-0411

Map and Direction




Provider's Profile

Full NameJacob Moore
GenderMale
SpecialityPhysician Assistant
Experience10 Years
Location1900 Silver Lake Rd Nw, New Brighton, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacob Moore graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1851780928
  • Provider Enumeration Date: 01/13/2015
  • Last Update Date: 04/27/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 7618297490
  • Enrollment ID: I20150519000369

Medical Identifiers

Medical identifiers for Jacob Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851780928NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Nystrom And Associates Ltd6406752492381

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. Jacob Moore 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 AddressPractice Location Address
Jacob Moore, PA-C
1900 Silver Lake Rd Nw, Suite 110,
New Brighton, MN 55112-1786

Ph: (651) 628-9566
Jacob Moore, PA-C
1900 Silver Lake Rd Nw, Suite 110,
New Brighton, MN 55112-1786

Ph: (651) 628-9566

Reviews and Comments


Physician Assistant Nurses in New Brighton, MN

Nathan Hockert,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1900 Silver Lake Rd Nw, New Brighton, MN 55112
Phone: 165-162-8956    Fax: 651-628-0411
Binh Y Vu, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 900 Long Lake Rd Ste 150, New Brighton, MN 55112
Phone: 612-213-2370    Fax: 612-524-5571
Amanda Drewek, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112
Phone: 651-628-9566    Fax: 651-628-0411
Lindsey K Locken, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1151 Silver Lake Rd Nw, New Brighton, MN 55112
Phone: 612-706-4500    Fax: 612-781-6830
Sarah Mae Anikpo, MS, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112
Phone: 651-628-9566    Fax: 651-628-0411
Abrielle Anne Mumm, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 900 Long Lake Rd Ste 150, New Brighton, MN 55112
Phone: 612-213-2370    Fax: 612-524-5571
Polly Hendel, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112
Phone: 651-628-9566    Fax: 651-628-0411

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.