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

Jordan Robert Moe, MD

Individual provider Family Medicine Physician · NPI 1033386966

Jordan Robert Moe, MD is a Family Practice in Staples, Minnesota. Graduated from University of Minnesota Medical School in 2008, 18 years ago. Practices with Lakewood Health System, a 107-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
18
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

49725 County 83
Staples, MN 56479-5280
Phone: (218) 894-1515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 52007 (MN)

Record details

NPI number1033386966
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 9, 2008
Last updated in NPPESDecember 14, 2011
Mailing address49725 County 83, Staples, MN 56479-5280

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2008 (18 years in practice)
Group practice Lakewood Health System — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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