Active NPI
Johnna Moulton
- Family Nurse Practitioner
- Reading, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2267416
- Practice address
- 42 Chestnut Rd
Reading, MA 01867-2141 - Phone
- (781) 608-0825
- NPI assigned
- Jul 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | RN2267416 | MA | |
| Family Nurse Practitioner | 363LF0000X | 2267416 | MA | Primary |
Addresses
Primary practice location
42 Chestnut Rd
Reading, MA 01867-2141
Mailing address
42 Chestnut Rd
Reading, MA 01867-2141
Phone (781) 608-0825
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230509002294 | MA | Practitioner - Nurse Practitioner | 4284090689 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- First Choice Community Medical Services PCLife Choice Hospice of Southern Massachusetts LLC
Practice addresses (Care Compare)
575 Turnpike St
Suite 25
North Andover, MA 01845-5937
Phone (978) 290-4646
790 Turnpike St
Suite 202
North Andover, MA 01845-6138
Phone (978) 777-8222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2267416 | MA | MD | Home Health Registered Nurse |
| 2267416 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Choice Hospice of Southern Massachusetts LLC | Family | Current | Accepting new patients |
| First Choice Community Medical Services PC | Current | Accepting new patients |
Locations
575 Turnpike St
Ste 25
North Andover, MA 01845
Phone (978) 290-4646
790 Turnpike St
Ste 202
North Andover, MA 01845
Phone (978) 777-8222
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- North Andover, MA
- NPI 1922492966
MA
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- North Andover, MA
- NPI 1073138640
Family, MA
-
- Community Based Hospice Care Agency
- North Andover, MA
- NPI 1780937649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680739200000",
"number": "1003369828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 CHESTNUT RD",
"city": "READING",
"state": "MA",
"postal_code": "018672141",
"telephone_number": "781-608-0825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 CHESTNUT RD",
"city": "READING",
"state": "MA",
"postal_code": "018672141",
"telephone_number": "781-608-0825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOULTON",
"first_name": "JOHNNA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-28",
"last_updated": "2023-04-06",
"certification_date": "2023-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "MA",
"license": "RN2267416",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "2267416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reading, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.