Jessicca L Moore, FNP - Medicare Nurse Practitioner in Petaluma, CA

Jessicca L Moore, FNP is a medicare enrolled "Nurse Practitioner - Family" in Petaluma, California. She went to University Of California, Geffen School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Petaluma Health Center Inc and her current practice location is 1179 N Mcdowell Blvd, Petaluma, California. You can reach out to her office (for appointments etc.) via phone at (707) 559-7500.

Jessicca L Moore is licensed to practice in California (license number 15981) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1891911707.

Contact Information

Jessicca L Moore, FNP
1179 N Mcdowell Blvd,
Petaluma, CA 94954-6559
(707) 559-7500
(707) 559-7620

Map and Direction




Provider's Profile

Full NameJessicca L Moore
GenderFemale
SpecialityNurse Practitioner
Experience19 Years
Location1179 N Mcdowell Blvd, Petaluma, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jessicca L Moore attended and graduated from University Of California, Geffen School Of Medicine in 2005
  NPI Data:
  • NPI Number: 1891911707
  • Provider Enumeration Date: 04/18/2007
  • Last Update Date: 09/20/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5294897575
  • Enrollment ID: I20081219000500

Medical Identifiers

Medical identifiers for Jessicca L Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891911707NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 15981 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Petaluma Valley HospitalPetaluma, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Petaluma Health Center Inc913318037558

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. Jessicca L Moore allows following entities to bill medicare on her behalf.
Entity NamePetaluma Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588656268
PECOS PAC ID: 9133180375
Enrollment ID: O20050315000415

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. Jessicca L 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
Jessicca L Moore, FNP
1179 N Mcdowell Blvd,
Petaluma, CA 94954-6559

Ph: (707) 559-7500
Jessicca L Moore, FNP
1179 N Mcdowell Blvd,
Petaluma, CA 94954-6559

Ph: (707) 559-7500

Reviews and Comments


Nurse Practitioner Nurses in Petaluma, CA

Ms. Barbara L. Schoen, FNP/PA-C
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Sherin Ann Chakkalakel, DNP, FNP-C
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Practice Location: 141 Lynch Creek Way, Petaluma, CA 94954
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Dahae Hwang,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954
Phone: 707-559-7500    
Gisselle E Suazo,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954
Phone: 707-559-7617    Fax: 707-559-7620
Andrew K Chinnock, FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 400 N Mcdowell Blvd, Petaluma, CA 94954
Phone: 707-776-8066    
Stephanie M Treece,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954
Phone: 707-559-7500    Fax: 707-559-7620

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.