Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carly Jo Moran

Individual provider Physician Assistant · NPI 1902530058

Carly Jo Moran is a Physician Assistant in Omaha, Nebraska. Qualified in 2023, 3 years ago. Practices with Alegent Creighton Clinic, a 947-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
3
Licensed in
NE
In the registry since
2022
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Practice location Address checks out

42ND And Emile
Omaha, NE 68198-0001
Phone: (402) 559-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3049 (NE)

Record details

NPI number1902530058
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 14, 2022
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025
Mailing address1337 W Whitechurch Ln, Sioux Falls, SD 57108-3322

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Alegent Creighton Clinic — 947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Omaha