Look up the most recent NPI and PECOS records

Katelyn Rose Moffo

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

2105 Braxton Ln Ste 101, Greensboro, NC 27408-2862

PECOS Enrollment

This provider is enrolled in PECOS as KATELYN MOFFO.

Based on the most recent information from CMS, provider Katelyn Rose Moffo 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 yesterday at 11:21 AM.

Profile Details

Provider ID
1851177505
Provider Type
Individual
Full Name
Moffo, Katelyn Rose
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
9/7/2023
Last Updated
5/2/2025

Contact Information

Practice Location

2105 Braxton Ln Ste 101, Greensboro, NC 27408-2862

(336) 333-6306

(336) 333-6309

Mailing Location

PO Box 604345, Charlotte, NC 28260-4345

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 0010-13501 North Carolina

Katelyn Rose Moffo

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Fichera, Jennifer Lea

Gale, Amber Nicole

Ward, Jessica Zanetto

Cheek, Tamra Shay

Burkett, Maya Rae

Collins, Emma Maureen

Edmisten, Kristie L

Knowles, Carol Donahue

Czinsky, Jennifer Lynn

Welch, Katelyn