DR. JESSICA SUZANNE MOSHER MD NPI 1063471050

NPI Information

  • NPI: 1063471050
  • Provider Name: DR. JESSICA SUZANNE MOSHER, MD
  • Classification: Dermatology - 207ND0101X
  • Specialization: MOHS-Micrographic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 62 WALNUT ST STE 1
    WELLESLEY HILLS, MA
    ZIP 02481
  • Phone: (781) 400-0469

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NPI Details

DR. Jessica Suzanne Mosher, MD is a mohs-micrographic surgery dermatology in Wellesley Hills, MA with 28 years of experience. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. DR. Jessica Suzanne Mosher, MD NPI is 1063471050. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: STANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1998

The provider's business location address is:

62 WALNUT ST STE 1
WELLESLEY HILLS, MA
ZIP 02481-109
Phone: (781) 400-0469
Fax: (617) 604-2168

The NPI 1063471050 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks (HCPCS:17312)
  • Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks (HCPCS:17311)
  • Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks (HCPCS:17313)
  • Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks (HCPCS:17314)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm (HCPCS:14041)
  • Repair of wound by transferring skin, 30.1-60.0 sq cm (HCPCS:14301)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less (HCPCS:15260)
  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less (HCPCS:14040)
  • Repair of wound of scalp, arms, or legs by transferring skin, 10.1-30.0 sq cm (HCPCS:14021)
  • Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less (HCPCS:14060)
  • Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less (HCPCS:12031)
  • Repair of wound by transferring skin, each additional 30.0 sq cm (HCPCS:14302)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Biopsy of related skin growth, each additional growth (HCPCS:11103)
  • Full thickness skin graft to scalp, arms, or legs, 20.0 sq cm or less (HCPCS:15220)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm (HCPCS:14061)
  • Full thickness skin graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 20.0 sq cm or less (HCPCS:15240)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 3/20/2006 and was last updated on 10/19/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatology217725MASSACHUSETTSNo
2207NI0002XDermatologyClinical & Laboratory Dermatological Immunology217725MASSACHUSETTSNo
3207ND0101XDermatologyMOHS-Micrographic Surgery217725MASSACHUSETTSYes
4207NS0135XDermatologyProcedural Dermatology217725MASSACHUSETTSNo
5207ND0900XDermatologyDermatopathology217725MASSACHUSETTSNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12139677MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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