Jane Greenfield Moscoe, P.A.-C.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA017 Issued in KY

Practice address

100 Veterans Dr
Wilmore, KY 40390-9775

Phone

(859) 858-2814

Fax

(859) 258-8610

NPI assigned

Sep 13, 2006

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 23, 2023.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1972608461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 VETERANS DR",
            "city": "WILMORE",
            "state": "KY",
            "postal_code": "403909775",
            "telephone_number": "859-858-2814",
            "fax_number": "859-258-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 VETERANS DR",
            "city": "WILMORE",
            "state": "KY",
            "postal_code": "403909775",
            "telephone_number": "859-858-2814",
            "fax_number": "859-258-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSCOE",
        "first_name": "JANE",
        "middle_name": "GREENFIELD",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA017",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "P00012192",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID LAB GROUP",
            "identifier": "37903705",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95000170",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LAB GROUP",
            "identifier": "4000501",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "CB5773",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany McDaniel
• John Jason McDaniel, PHARMD
• Sheila Drake Melander, APRN
• Kathleen Jo Milans, M.A.
• Cassandra Dawn Miller, LCSW
• David A Murphy, DMD
• Rebecca Callie Newton, PA
• Ernest Thompson O'Neal, M.D.
• Julianne Ossege, APRN, PHD
• Stuart Lee Palmer, PSYD

• All providers in Wilmore, KY
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.