Individual provider Active NPI

Meghan Rochelle Moyle, D.O.

  • Family Medicine Physician
  • Vancouver, WA
National Provider Identifier
1386081149
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP60907120 Issued in WA
Practice address
315 SE Stonemill Dr Ste 102
Vancouver, WA 98684-6987
Phone
(360) 816-2700
NPI assigned
Jun 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0116025840 VA
Family Medicine Physician 207Q00000X OP60907120 WA Primary

Addresses

Primary practice location

315 SE Stonemill Dr Ste 102
Vancouver, WA 98684-6987

Mailing address

PO Box 3158
Portland, OR 97208-3158
Phone (503) 215-6494

Other practice location 1

191 Fox Hill Rd Ste D
Hampton, VA 23669-2360
Phone (757) 850-1311

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address mmoyle1147880@oc.providencedirect.org
Direct Messaging Address mmoyle1147880@oc.providencedirect.org
Direct Messaging Address mmoyle1147880@oc.providencedirect.org
Direct Messaging Address mmoyle1147880@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190826002098 WA Practitioner - Family Practice 5395960165 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
PeacehealthGroup PAC ID 8820178288, 245 clinicians

Practice addresses (Care Compare)

16811 SE McGillivray Blvd
Vancouver, WA 98683-3404
Phone (360) 735-8100

505 NE 87TH Ave
Vancouver, WA 98664-1965

Hospital & facility affiliations

  • Peacehealth Southwest Home Health Home health agency, Vancouver, WA, CCN 507064
  • Providence Hospice Hospice, Portland, OR, CCN 381500
  • Peacehealth Southwest Medical Cente Hospital, Vancouver, WA, CCN 500050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0116025840VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon Current Accepting new patients
Peacehealth Family Medicine CurrentSince Feb 25, 2025 Accepting new patients
Providence Health & Services Oregon CurrentSince Sep 1, 2019 Accepting new patients
Peacehealth CurrentSince Feb 25, 2025 Accepting new patients
Peacehealth CurrentSince Dec 30, 2024 Accepting new patients
Providence Health & Services Oregon CurrentSince Sep 1, 2019 Accepting new patients

Locations

101 NW 12th Ave
Ste 107
Battle Ground, WA 98604
Phone (360) 687-6655

971 11th Ave
Longview, WA 98632
Phone (360) 423-6140

1115 SE 164th Ave
Vancouver, WA 98683
Phone (360) 729-1412

3101 SE 192nd Ave
Ste 106
Vancouver, WA 98683
Phone (360) 553-7400

1115 SE 164th Ave
Dept 364
Vancouver, WA 98683
Phone (360) 735-8100

700 Washington St
Ste 105
Vancouver, WA 98660
Phone (360) 816-7380

315 SE Stonemill Dr
Vancouver, WA 98684
Phone (360) 729-8020

505 NE 87th Ave
Ste 301
Vancouver, WA 98664
Phone (360) 514-1854

400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000

315 SE Stonemill Dr
Ste 102
Vancouver, WA 98684
Phone (360) 816-2700

Interoperability endpoints

  • Direct secure messaging: mmoyle1147880@oc.providencedirect.org
  • Direct secure messaging: mmoyle678998@direct.peacehealth.org

Organizations & group practices 6

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 4

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": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1386081149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3158",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083158",
            "telephone_number": "503-215-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 SE STONEMILL DR STE 102",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846987",
            "telephone_number": "360-816-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "191 Fox Hill Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236692360",
            "country_code": "US",
            "telephone_number": "757-850-1311",
            "fax_number": "757-850-7315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOYLE",
        "first_name": "MEGHAN",
        "middle_name": "ROCHELLE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-03",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116025840",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP60907120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmoyle1147880@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "315 SE Stonemill Dr Ste 102",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986846987",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmoyle1147880@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "101 NW 12th Ave Ste 107",
            "city": "Battle Ground",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986049141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmoyle1147880@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "3101 SE 192nd Ave Ste 106",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986831443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmoyle1147880@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "700 Washington St Ste 105",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986603181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.