Individual provider Active NPI

Jocelyn Moll

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1285090902
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95010975 Issued in CA
Practice address
6116 E Arbor Ave BLDG 2
Mesa, AZ 85206-6107
Phone
(480) 219-1010
Fax
(480) 219-1771
NPI assigned
Jan 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 265875 AZ
Family Nurse Practitioner 363LF0000X 95010975 CA Primary

Addresses

Primary practice location

6116 E Arbor Ave BLDG 2
Mesa, AZ 85206-6107

Mailing address

6116 E Arbor Ave Ste 108
Mesa, AZ 85206-6103
Phone (480) 219-1010

Other practice location 1

3 Doctors Park
Cape Girardeau, MO 63703-4927
Phone (573) 334-7748

Other practice location 2

11770 Bernardo Plaza Ct Ste 270
San Diego, CA 92128-2425
Phone (858) 485-0554

Other practice location 3

1155 E Combs Rd Ste 105
Queen Creek, AZ 85140-1218
Phone (480) 219-1010

Other names 1

  • Jocelyn Huber Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ, OR3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200108000289 CA Practitioner - Nurse Practitioner 8729382742 Reassigns benefits to 2 organizations
I20211117001329 AZ Practitioner - Nurse Practitioner 8729382742 Reassigns benefits to 1 organization
I20250115001936 OR Practitioner - Nurse Practitioner 8729382742 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
77.23 of 100Reported as group
Quality
36.36
Promoting interoperability
100
Improvement activities
40
Cost
71.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
265875AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sonora Community Hospital CurrentSince May 13, 2021 Accepting new patients
Scripps Health Current Accepting new patients
Sonora Community Hospital Current Accepting new patients
Orohealth Corporation a Non Profit Healthcare System CurrentSince Oct 15, 2021 Accepting new patients
Sonora Community Hospital CurrentSince May 13, 2021 Accepting new patients
Good Shepherd Health Care System CurrentSince Jan 24, 2025 Accepting new patients
Good Shepherd Health Care System CurrentSince Jan 24, 2025 Accepting new patients
Western Radiation Oncology Inc CurrentSince Feb 6, 2023 Accepting new patients
Sonora Community Hospital CurrentSince May 13, 2021 Accepting new patients
Oroville Hospital Past Accepting new patients

Locations

6116 E Arbor Ave
Ste 108
Mesa, AZ 85206
Phone (480) 219-1010

1155 E Combs Rd
Ste 105
San Tan Valley, AZ 85140
Phone (480) 219-1010

2767 Olive Hwy
#260
Oroville, CA 95966
Phone (530) 532-8544

2450 Oro Dam Blvd E
Oroville, CA 95966
Phone (530) 712-2128

2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500

690 Guzzi Ln
Ste B
Sonora, CA 95370
Phone (209) 536-5060

193 Fairview Ln
Sonora, CA 95370
Phone (209) 536-5100

600 NW 11th St
Ste E37
Hermiston, OR 97838
Phone (541) 567-5305

610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400

620 NW 11th St
Ste M202
Hermiston, OR 97838
Phone (541) 667-3804

600 NW 11th St
Ste E10
Hermiston, OR 97838
Phone (541) 667-2420

Interoperability endpoints

  • Direct secure messaging: jmoll381117@scrippshlth.medalliesdirect.net
  • Direct secure messaging: jmoll1523791@direct.lhs.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1285090902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 E ARBOR AVE STE 108",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852066103",
            "telephone_number": "480-219-1010",
            "fax_number": "480-219-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 E ARBOR AVE BLDG 2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852066107",
            "telephone_number": "480-219-1010",
            "fax_number": "480-219-1771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Doctors Park",
            "address_purpose": "LOCATION",
            "city": "Cape Girardeau",
            "state": "MO",
            "postal_code": "637034927",
            "country_code": "US",
            "telephone_number": "573-334-7748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11770 Bernardo Plaza Ct Ste 270",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921282425",
            "country_code": "US",
            "telephone_number": "858-485-0554",
            "fax_number": "848-429-7933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1155 E Combs Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851401218",
            "country_code": "US",
            "telephone_number": "480-219-1010",
            "fax_number": "480-219-1771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLL",
        "first_name": "JOCELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-11",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "265875",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95010975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOCELYN",
            "last_name": "HUBER",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.