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

Jacqueline Virginia Mooney

Individual provider Physician Assistant · NPI 1245998772

Jacqueline Virginia Mooney is a Physician Assistant in Globe, Arizona. Qualified in 2022, 4 years ago. Practices with Cobre Valley Regional Medical Center, a 40-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2021
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Practice location Address checks out

5880 S Hospital Dr
Globe, AZ 85501-9447
Phone: (928) 425-3261
Fax: (928) 425-3859
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 9574 E 106th St, Fishers, IN 46037-9701 — (317) 999-3281
  • 122 E 1700 S, Provo, 84606 — (801) 375-5125

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9439 (AZ)

Record details

NPI number1245998772
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 1, 2021
Last updated in NPPESOctober 25, 2023
Certification dateOctober 25, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Cobre Valley Regional Medical Center — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Globe