Active NPI
Jennifer Pearson, FNP-C
- Family Nurse Practitioner
- Moses Lake, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP70004819
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2340829 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jpearson4015657@wm.providencedirect.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.AP.70004819-NP | WA | MD | Nurse Practitioner |
| APRN-3199 | HI | MD | Family Nurse Practitioner |
| AP70004819 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Nurse Practitioner | Current | Accepting new patients |
| Grant County Public Hospital District 1 | Current | Accepting new patients | |
| Grant County Public Hospital District 1 | Current | 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
- 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.
-
- Rural Health Clinic/Center
- Moses Lake, WA
- NPI 1619086766
-
- Physical Medicine & Rehabilitation Physician
- Middle River, MD
- NPI 1710529771
WA
-
- Rural Health Clinic/Center
- Moses Lake, WA
- NPI 1609112739
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Moses Lake, WA
- NPI 1902818883
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.