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

Jenna Lynn Moscherosch, MSPAC

Individual provider Medical Physician Assistant · NPI 1356653760

Jenna Lynn Moscherosch, MSPAC is a Physician Assistant in North Branch, Minnesota. Qualified in 2010, 16 years ago. Practices with Fairview Clinics, a 806-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan and Minnesota.

Years since qualifying
16
Licensed in
MI, MN
In the registry since
2010
Specialties on file
2

Practice location Address checks out

5366 386th St NE
North Branch, MN 55056-5833
Phone: (651) 674-8353
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5701 Bow Pointe Dr, Clarkston, MI 48346-3198 — (248) 625-2621
  • 14701 Victor Hugo Blvd N, Hugo, MN 55038-4561 — (952) 853-8800

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 11785 (MN)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 5601005802 (MI)

Record details

NPI number1356653760
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSPAC
Sole proprietorNo
NPI enumeratedJuly 14, 2010
Last updated in NPPESMarch 17, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Fairview Clinics — 806 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare