Look up the most recent NPI and PECOS records

Carly Jo Moran

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as CARLY MORAN.

Based on the most recent information from CMS, provider Carly Jo Moran is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1902530058
Provider Type
Individual
Full Name
Moran, Carly Jo
Gender
Female

Sole Proprietor
No
Enumeration Date
7/14/2022
Last Updated
8/25/2025

Contact Information

Practice Location

42nd And Emile, Omaha, NE 68198-0001

(402) 559-4000

Unlisted Fax

Mailing Location

1337 W Whitechurch Ln, Sioux Falls, SD 57108-3322

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 3049 Nebraska

Carly Jo Moran

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Campbell, Sally J

Spears, Kristine L

Reinhart, Madison Shea

Hoffmeyer, Blake I

Kapple, Jessica L.

Shah, Simran Dharmesh

Allin, Lindsey Nicole

Cuttle, Stephanie Rene

Klein, Kate

Torczon, Carrie Lynn