PENINSULA COMMUNITY HEALTH SERVICES
NPI 1013969351
Clinic/Center - Federally Qualified Health Center (FQHC) in Poulsbo, WA
About Peninsula Community Health Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PENINSULA COMMUNITY HEALTH SERVICES (NPI 1013969351) is a healthcare organization registered as a federally qualified health center (fqhc) in Poulsbo, Washington and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Jennifer Kreidler-moss, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 7
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Peninsula Community Health Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
51Medicare enrollment records show 51 clinicians reassign Medicare billing to Peninsula Community Health Services, which bills Medicare for the services they deliver. Of these, 10 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 10
Nearest to this location (20)
See all 51Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 50D0634977
Peninsula Community Health Services · Bremerton, WAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Peninsula Community Health Services's NPI number?
The NPI number for Peninsula Community Health Services is 1013969351. It was assigned to this organization in the NPPES registry on May 16, 2006.
Where is Peninsula Community Health Services located?
Peninsula Community Health Services is located at 19917 7th Ave NE Suite 205, Poulsbo, WA 98370. The listed phone number is (360) 377-3776.
What is Peninsula Community Health Services's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Peninsula Community Health Services enrolled in Medicare?
Yes. Peninsula Community Health Services is registered in the Medicare PECOS enrollment system.
When is Peninsula Community Health Services's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Washington, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Peninsula Community Health Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 51 clinicians in 10 Medicare specialties reassign their Medicare billing to Peninsula Community Health Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (20), Family Practice (10) and Mental Health Counselor (8). Of these, 10 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Peninsula Community Health Services hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 50D0634977) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Peninsula Community Health Services accept?
Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Peninsula Community Health Services as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Peninsula Community Health Services was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Peninsula Community Health Services · NPI 1013969351
Federally Qualified Health Center (FQHC) organization in Poulsbo, Washington. Organization record, active in the CMS NPPES registry since May 16, 2006.
## Identity
- **NPI:** 1013969351 (Entity type: Organization)
- **Enumerated:** May 16, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Jennifer Kreidler-Moss, CEO
## Practice location
- **Address:** 19917 7TH AVE NE, SUITE 205, Poulsbo, WA 98370-7403
- **Phone:** (360) 377-3776 · **Fax:** (360) 779-6449
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Washington, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 51 clinicians in 10 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (20), Family Practice (10), Mental Health Counselor (8); 10 practice within 10 miles; [full list](https://npiprofile.com/npi/1013969351/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 28, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1013969351) · Data from the CMS NPPES public registry.