Individual provider Active NPI

Jennifer Pearson, FNP-C

  • Family Nurse Practitioner
  • Moses Lake, WA
National Provider Identifier
1649854076
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP70004819 Issued in WA
Practice address
1550 S Pioneer Way
Moses Lake, WA 98837-4613
Phone
(509) 793-9780
Fax
(509) 764-3245
NPI assigned
May 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.AP.70004819-NP WA
Family Nurse Practitioner 363LF0000X APRN-3199 HI
Family Nurse Practitioner 363LF0000X AP70004819 WA Primary

Addresses

Primary practice location

1550 S Pioneer Way
Moses Lake, WA 98837-4613

Mailing address

1616 S Pioneer Way
Moses Lake, WA 98837-2487
Phone (509) 793-9715

Other identifiers 1

IdentifierTypeStateIssuer
2340829MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jpearson4015657@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230919003030 HI Practitioner - Nurse Practitioner 7012371321 Reassigns benefits to 1 organization
I20250828002334 WA Practitioner - Nurse Practitioner 7012371321 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Rehab Consultants PLLCGroup PAC ID 6800220682, 251 clinicians
Grant County Public Hospital District 1Group PAC ID 9931095692, 112 clinicians

Practice addresses (Care Compare)

1100 E Nelson Rd
Moses Lake, WA 98837-2360
Phone (509) 765-6788

1550 S Pioneer Way
Moses Lake, WA 98837-4613
Phone (509) 793-9780

1550 S Pioneer Way
Moses Lake, WA 98837-4618

1616 S Pioneer Way
Moses Lake, WA 98837-2487

2000 S Clover Dr
Moses Lake, WA 98837-4417
Phone (509) 765-5606

8420 Aspi Blvd
Suite 1
Moses Lake, WA 98837-3601
Phone (509) 793-9781

Hospital & facility affiliations

  • Samaritan Hospital Hospital, Moses Lake, WA, CCN 500033

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.AP.70004819-NPWAMDNurse Practitioner
APRN-3199HIMDFamily Nurse Practitioner
AP70004819WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC Nurse Practitioner CurrentSince Sep 6, 2023 Accepting new patients
Grant County Public Hospital District 1 CurrentSince Sep 8, 2025 Accepting new patients
Grant County Public Hospital District 1 CurrentSince Sep 8, 2025 Accepting new patients

Locations

500 Ala Moana Blvd
Ste 7400
Honolulu, HI 96813
Phone (617) 823-6490

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

1550 S Pioneer Way
Ste 150
Moses Lake, WA 98837
Phone (509) 793-9780

801 E Wheeler Rd
Moses Lake, WA 98837
Phone (509) 765-5606

8420 Aspi Blvd
Ste 1
Moses Lake, WA 98837
Phone (509) 793-9781

1550 S Pioneer Way
Ste 100
Moses Lake, WA 98837
Phone (509) 765-6525

1616 S Pioneer Way
Moses Lake, WA 98837

8420 Aspi Blvd
Moses Lake, WA 98837
Phone (509) 793-9781

1550 S Pioneer Way
Moses Lake, WA 98837
Phone (509) 793-9780

660 S Coolidge St
Moses Lake, WA 98837

Interoperability endpoints

  • Direct secure messaging: jpearson4015657@wm.providencedirect.org

Organizations & group practices 4

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": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1649854076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 S PIONEER WAY",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988372487",
            "telephone_number": "509-793-9715",
            "fax_number": "509-764-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 S PIONEER WAY",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988374613",
            "telephone_number": "509-793-9780",
            "fax_number": "509-764-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "JENNIFER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "APRN.AP.70004819-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-3199",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP70004819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2340829",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpearson4015657@wm.providencedirect.org",
            "affiliation": "N",
            "endpointDescription": "EPIC EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8420 Aspi Blvd Ste 1",
            "city": "Moses Lake",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988373601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moses Lake, WA

Sources for this page

Verify at the official NPI Registry.