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

Jordan Moeller, CAA

Individual provider Anesthesiologist Assistant · NPI 1013721703

Jordan Moeller, CAA is an Anesthesiology Assistant in Charleston, South Carolina. Qualified in 2024, 2 years ago. Practices with Trident Anesthesia Group LLC, a 119-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
2
Licensed in
SC
In the registry since
2025

Practice location Address checks out

9263 Medical Plaza Dr Ste E
Charleston, SC 29406-7112
Phone: (843) 572-1228
Show map & directions

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

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 135 (SC)

Record details

NPI number1013721703
Entity typeIndividual (Type 1)
GenderFemale
Credentials CAA
Sole proprietorNo
NPI enumeratedFebruary 4, 2025
Last updated in NPPESFebruary 4, 2025
Certification dateFebruary 4, 2025

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Trident Anesthesia Group Llc — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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