Jeanna J Moats, C.R.N.P

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R122100 Issued in MD

Practice address

19426 Leitersburg Pike
Hagerstown, MD 21742-1468

Phone

(240) 513-6330

Fax

(240) 513-6332

NPI assigned

Aug 4, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellspan Chambersburg Hospital Hospital, Chambersburg, PA, CCN 390151

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

• The Chambersburg Hospital

  • Clinic/Center
  • Chambersburg, PA
  • NPI 1215060157

  Hospital

  Care Compare affiliation
• The Chambersburg Hospital

  • Clinic/Center
  • Chambersburg, PA
  • NPI 1669523320

  Hospital

  Care Compare affiliation
• The Chambersburg Hospital

  • General Acute Care Hospital
  • Chambersburg, PA
  • NPI 1902804552
  Care Compare affiliation
• The Chambersburg Hospital

  • Clinic/Center
  • Chambersburg, PA
  • NPI 1952452617

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1417958075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19426 LEITERSBURG PIKE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217421468",
            "telephone_number": "240-513-6330",
            "fax_number": "240-513-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19426 LEITERSBURG PIKE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217421468",
            "telephone_number": "240-513-6330",
            "fax_number": "240-513-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOATS",
        "first_name": "JEANNA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "C.R.N.P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-04",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R122100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Mitchell
• MNR Industries, LLC
• Amber Dawn Moats, MHA, ATC, LAT,
• Ashley Marie Moats, DO
• Daniel A Moats, LMSW
• Jeffrey Moats, LPN
• Heather Moatz, LCSWC
• Kaylee Elizabeth Mock
• Jenna Moenius, LCSWC
• Mohammed Muttahhar Mohiuddin, M.D.

• Family Nurse Practitioner in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.