Jordan Moeller, CAA
NPI 1013721703ActiveIndividual· Anesthesiologist Assistant· Charleston, SC
Anesthesiologist Assistant (CAA) with Trident Anesthesia Group LLC, practicing in Charleston, South Carolina. Enrolled in Medicare as practitioner - anesthesiology assistant. Lists Trident Medical Center as a hospital affiliation.
Overview
| NPI | 1013721703 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CAA |
| Sole proprietor | No |
| NPI issued | Feb 4, 2025 |
| Last updated in NPPES | Feb 4, 2025 |
| Certified by provider | Feb 4, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiologist Assistant Primary | 367H00000X | 135 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology Assistant (SC) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Anesthesiology Assistant |
Medical group
- Trident Anesthesia Group LLCCharleston, SC · 119 clinicians
Hospital affiliation
- Trident Medical CenterCharleston, SC
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