Individual provider Active NPI

Jocelyn Brianna Valencia, DNP, ARNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Kingston, WA
National Provider Identifier
1598545527
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61466556 Issued in WA
Practice address
32014 Little Boston Rd NE
Kingston, WA 98346-9734
Phone
(360) 297-2840
NPI assigned
Oct 5, 2023
Last updated
Oct 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61466556 WA Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN9451193 FL

Addresses

Primary practice location

32014 Little Boston Rd NE
Kingston, WA 98346-9734

Mailing address

PO Box 718
Keyport, WA 98345-0718
Phone (219) 671-6332

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
I20240109004858 WA Practitioner - Nurse Practitioner 1557712080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Port Gamble S'Klallam TribeGroup PAC ID 6204737927, 11 clinicians

Practice addresses (Care Compare)

32020 Little Boston Rd NE
Kingston, WA 98346-9734
Phone (360) 297-9649

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9451193FLMDPsychiatric/Mental Health Registered Nurse
AP61466556WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Port Gamble S'Klallam Tribe CurrentSince Nov 14, 2023 Accepting new patients
Port Gamble S'Klallam Tribe CurrentSince Nov 14, 2023 Accepting new patients

Locations

32014 Little Boston Rd NE
Kingston, WA 98346
Phone (360) 297-2840

32020 Little Boston Rd NE
Kingston, WA 98346
Phone (360) 297-2840

Interoperability endpoints

  • Direct secure messaging: jocelyn.valencia.p1@direct.pgsklallamtribe.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1598545527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 718",
            "city": "KEYPORT",
            "state": "WA",
            "postal_code": "983450718",
            "telephone_number": "219-671-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32014 LITTLE BOSTON RD NE",
            "city": "KINGSTON",
            "state": "WA",
            "postal_code": "983469734",
            "telephone_number": "360-297-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENCIA",
        "first_name": "JOCELYN",
        "middle_name": "BRIANNA",
        "credential": "DNP, ARNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61466556",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "FL",
            "license": "RN9451193",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, WA

Sources for this page

Verify at the official NPI Registry.