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

MS. Jennifer Marie Moore, PA

Individual provider Physician Assistant · NPI 1588623367

MS. Jennifer Marie Moore, PA is a Physician Assistant in Cary, North Carolina. Qualified in 2004, 22 years ago. Practices with Matrix Occupational Health PC, a 42-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina and New York.

Years since qualifying
22
Licensed in
NC, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1110 Kildaire Farm Rd
Cary, NC 27511-4523
Phone: (919) 481-0277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3280 Washtenaw Ave, Ann Arbor, MI 48104-4283 — (734) 389-2000
  • 5825 Plank Rd Ste 105, Fredericksburg, VA 22407-5207 — (540) 785-3448

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 001002915 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 010268-1 (NY)

Record details

NPI number1588623367
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 21, 2006
Last updated in NPPESAugust 26, 2022
Certification dateAugust 26, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Matrix Occupational Health Pc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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