Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568071777 Individual Practitioner Female Practitioner

Jacqueline H Moder

Nurse Practitioner • Waycross, GA

Professional Overview & Biography Verified Profile Summary

Jacqueline Moder is a registered healthcare professional specializing in Nurse Practitioner in Waycross, GA. Practice services are available at 1912 MEMORIAL DR STE E under active NPI credentials.

Frequently performed procedures and clinical services include injection, dexamethasone sodium phosphate, 1 mg, established patient outpatient office visit, injection, ketorolac tromethamine, per 15 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1912 Memorial Dr Ste E

Waycross, GA 315010989

Telephone 9122837100
Associated Practice Facility / Clinic
🏢 Applecare Llc Facility NPI 1912250234

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Waycross, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.6 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
27 Specialists

Practicing in Waycross, GA (3149 Statewide)

Telehealth Adoption Rate
7.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
44.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg
274 26 $15.00 $0.16
99213 Established patient office or other outpatient visit, typically 15 minutes
72 68 $117.35 $73.79
J1885 Injection, ketorolac tromethamine, per 15 mg
70 17 $15.00 $0.49
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
64 47 $40.00 $11.30
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
61 60 $100.00 $35.33
J0696 Injection, ceftriaxone sodium, per 250 mg
60 13 $5.00 $0.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
39 39 $175.00 $88.98
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
36 36 $185.00 $135.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
35 34 $175.00 $104.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
22 22 $265.00 $136.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
18 18 $160.00 $106.79

Medical Specialties & State Licenses

CMS Verified: 2020-07-24
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License GA RN240089

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License FL 11006710

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Anthony Bryson

Nurse Practitioner - Family

NPI 1073451126
Summer Hill

Nurse Practitioner - Family

NPI 1215581392

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 24, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 24, 2020

Registered at 1912 MEMORIAL DR STE E, WAYCROSS, GA 315010989 (Tel: 9122837100)

📍
Updated Business Mailing Address July 24, 2020

Registered at 6115 COTTONWOOD LN, BLACKSHEAR, GA 315165992 (Tel: 9122864400)

👤
Provider Name / Credentials Updated July 24, 2020

Recorded as JACQUELINE MODER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2020

Nurse Practitioner (License #RN240089 in GA)

🟢
Initial NPI Registration & Enumeration July 24, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568071777
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2020
Last Update: July 24, 2020
Sole Proprietor: No

Mailing Address

6115 Cottonwood Ln

Blackshear, GA 315165992

Phone: 9122864400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.