Individual provider Active NPI

Jennifer M Moehl, FNP-C

  • Family Nurse Practitioner
  • Mount Vernon, WA
National Provider Identifier
1477391423
Registry record updated May 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61583212 Issued in WA
Practice address
307 S 13TH St Ste 100
Mount Vernon, WA 98274-4100
Phone
(360) 814-2146
NPI assigned
Jul 15, 2024
Last updated
May 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61583212 WA Primary

Addresses

Primary practice location

307 S 13TH St Ste 100
Mount Vernon, WA 98274-4100

Mailing address

307 S 13TH St
Mount Vernon, WA 98274-4100
Phone (360) 814-2146

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmoehl45515@skagit.direct-ci.com Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241021003560 WA Practitioner - Nurse Practitioner 3870025463 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
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

Practice addresses (Care Compare)

307 S 13TH St
Suite 100
Mount Vernon, WA 98274-4100
Phone (360) 814-2146

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

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP61583212WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital Dist No 1 Skagit CurrentSince Oct 4, 2024 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Oct 7, 2024 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Oct 4, 2024 Accepting new patients

Locations

3823 172nd St NE
Arlington, WA 98223
Phone (360) 618-5000

1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586

1415 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 416-5750

307 S 13th St
Ste 100
Mount Vernon, WA 98274
Phone (360) 424-2630

307 S 13th St
Ste 300
Mount Vernon, WA 98274
Phone (360) 336-9757

Interoperability endpoints

  • Direct secure messaging: jmoehl45515@skagit.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747526400000",
    "number": "1477391423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S 13TH ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744100",
            "telephone_number": "360-814-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S 13TH ST STE 100",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744100",
            "telephone_number": "360-814-2146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOEHL",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2025-05-18",
        "certification_date": "2025-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61583212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmoehl45515@skagit.direct-ci.com",
            "affiliation": "N",
            "endpointDescription": "Provider Direct Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "307 S 13th St Ste 100",
            "city": "Mount Vernon",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982744100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

Verify at the official NPI Registry.