Individual provider Active NPI

Jennifer Moller, PA-C

  • Physician Assistant
  • Newport Beach, CA
National Provider Identifier
1487081097
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA23277 Issued in CA
Practice address
280 Newport Center Dr Ste 205
Newport Beach, CA 92660-7528
Phone
(949) 520-7088
Fax
(949) 520-7459
NPI assigned
Sep 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA23277 CA Primary

Addresses

Primary practice location

280 Newport Center Dr Ste 205
Newport Beach, CA 92660-7528

Mailing address

280 Newport Center Dr Ste 205
Newport Beach, CA 92660-7528
Phone (949) 520-7088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20161108000963 CA Practitioner - Physician Assistant 5698054039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anne Marie McNeill, MD, PHD, IncGroup PAC ID 0749323749, 9 clinicians

Practice addresses (Care Compare)

1441 Avocado Ave
Suite 702
Newport Beach, CA 92660-7708
Phone (949) 706-7886

Merit-based Incentive Payment System (MIPS)

Final score
94.23 of 100Reported as group
Quality
100
Improvement activities
40
Cost
80.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA23277CAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: jennifer.moller.1@1840.direct.athenahealth.com

Organizations & group practices 1

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": "1380326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1487081097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 NEWPORT CENTER DR STE 205",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607528",
            "telephone_number": "949-520-7088",
            "fax_number": "949-520-7459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 NEWPORT CENTER DR STE 205",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607528",
            "telephone_number": "949-520-7088",
            "fax_number": "949-520-7459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLER",
        "first_name": "JENNIFER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-28",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA23277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.