Jamie Michelle Moenster, D.O.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

006018 Issued in AZ

Practice address

698 E Wetmore Rd Ste 310
Tucson, AZ 85705-1752

Phone

(520) 207-3100

Fax

(520) 777-7634

NPI assigned

Jun 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Plastic and Reconstructive SurgeryAlso: General Surgery

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology and Plastic Surgery of Arizona LLCGroup PAC ID 8820225238, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.06 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Cost

76.88

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jmoenster@directaddress.net

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.

• Dermatology and Plastic Surgery of Arizona LLC

  • MOHS-Micrographic Surgery Physician
  • Sierra Vista, AZ
  • NPI 1649611476
  Medicare reassignment Care Compare group NPD Authorized official
• Coronado Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Sierra Vista, AZ
  • NPI 1215489182
  Medicare reassignment NPD Authorized official
• Coronado Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Tucson, AZ
  • NPI 1124948690
  NPD (past)

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1710189931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "698 E WETMORE RD STE 310",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857051752",
            "telephone_number": "520-207-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 E WETMORE RD STE 310",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857051752",
            "telephone_number": "520-207-3100",
            "fax_number": "520-777-7634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 S Coronado Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Sierra Vista",
            "state": "AZ",
            "postal_code": "856356352",
            "country_code": "US",
            "telephone_number": "520-458-1787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOENSTER",
        "first_name": "JAMIE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "AZ",
            "license": "006018",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "34.008986",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmoenster@directaddress.net",
            "affiliation": "N",
            "address_1": "150 S Coronado Dr Ste 110",
            "city": "Sierra Vista",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "856356352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmoenster@directaddress.net",
            "affiliation": "N",
            "address_1": "698 E Wetmore Rd Ste 310",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857051752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Modern Sports Medicine LLC
• Modern Vascular of Tucson, LLC
• Manuel Modiano, M.D.
• John Modrzejewski, NP-C
• Kendall Moeller, DNP, FNP-C, BSN, RN
• Cody Moezzi
• Kelly Anne Moffat, OD
• Cheyenne Quinn Moffett, MD
• Sarah Virginia Moffett, PT
• Matthew Moffitt, PH.D.

• Plastic and Reconstructive Surgery Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Plastic and Reconstructive Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.