Individual provider Active NPI

Jeffrey Lawrence Moller, M.D

  • Sleep Medicine (Internal Medicine) Physician
  • Arlington, WA
National Provider Identifier
1083856173
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
MD60339118 Issued in WA
Practice address
3823 172ND St NE
Arlington, WA 98223-7325
Phone
(360) 428-2550
Fax
(360) 848-4239
NPI assigned
Apr 3, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X MD60339118 WA Primary
Anesthesiology Physician 207L00000X MD60339118 WA
Pain Medicine (Anesthesiology) Physician 207LP2900X MD60339118 WA

Addresses

Primary practice location

3823 172ND St NE
Arlington, WA 98223-7325

Mailing address

1400 E Kincaid St
Mount Vernon, WA 98274-4127
Phone (360) 428-2550

Other identifiers 1

IdentifierTypeStateIssuer
2022654MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmoller80469@skagit.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130724000126 WA Practitioner - Anesthesiology 1052562014 Reassigns benefits to 1 organization
I20230516000787 AZ Practitioner - Sleep MedicinePractitioner - Internal Medicine 1052562014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Washington School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Public Hospital Dist No 1 SkagitGroup PAC ID 6800793522, shared by 7 NPIs, 321 clinicians
The Insomnia and Sleep Institute of Arizona LLCGroup PAC ID 3476707837, 10 clinicians

Practice addresses (Care Compare)

3823 172ND St NE
Arlington, WA 98223-7735
Phone (360) 651-8365

8330 E Hartford Dr
Suite 100
Scottsdale, AZ 85255-7205
Phone (480) 745-3547

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD60339118WAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bellingham Anesthesia Associates, P.S. Anesthesiology CurrentSince Aug 12, 2013 Accepting new patients
The Insomnia and Sleep Institute of Arizona LLC Sleep Medicine CurrentSince Jul 1, 2023 Accepting new patients
Providence Wa Anesthesia Services, P.C. Anesthesiology Past Accepting new patients

Locations

1530 E Williams Field Rd
Ste 204
Gilbert, AZ 85295
Phone (480) 745-3547

9305 W Thomas Rd
Ste 465
Phoenix, AZ 85037
Phone (480) 282-6567

8330 E Hartford Dr
Ste 100
Scottsdale, AZ 85255
Phone (480) 745-3457

909 Squalicum Way
Ste 102
Bellingham, WA 98225
Phone (360) 647-3377

2980 Squalicum Pkwy
Ste 304
Bellingham, WA 98225
Phone (360) 647-3377

Interoperability endpoints

  • Direct secure messaging: jeffrey.moller.1@22601.direct.athenahealth.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1083856173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E KINCAID ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744127",
            "telephone_number": "360-428-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3823 172ND ST NE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982237325",
            "telephone_number": "360-428-2550",
            "fax_number": "360-848-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLER",
        "first_name": "JEFFREY",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-03",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "WA",
            "license": "MD60339118",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD60339118",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WA",
            "license": "MD60339118",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2022654",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmoller80469@skagit.direct-ci.com",
            "affiliation": "N",
            "endpointDescription": "Direct",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3823 172nd St NE",
            "city": "Arlington",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982237325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arlington, WA

Sources for this page

Verify at the official NPI Registry.