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

Jayden Renee Moore

Individual provider Physician Assistant · NPI 1205722824

Jayden Renee Moore is a Physician Assistant in Ashland, Ohio. Qualified in 2025, 1 year ago. Practices with University Primary Care Practices Inc, a 1,073-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
1
Licensed in
OH
In the registry since
2025
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Practice location Address checks out

1941 S Baney Rd Ste 300
Ashland, OH 44805-4507
Phone: (419) 207-2663
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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 50.009476RX (OH)

Record details

NPI number1205722824
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 18, 2025
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025
Mailing address6614 McCartney Rd, Sandusky, OH 44870-8394

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice University Primary Care Practices Inc — 1073 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Ashland