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PENINSULA COMMUNITY HEALTH SERVICES
NPI 1013969351
Clinic/Center - Federally Qualified Health Center (FQHC) in Poulsbo, WA

Active since May 16, 2006CLIA 50D0634977 · Waiver
19917 7TH AVE NE, SUITE 205, POULSBO, WA 98370(360) 377-3776(360) 779-6449 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 28, 2026, Jan 2, 2020, Apr 30, 2019 (3 updates tracked since 2019).

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

NPI1013969351
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePENINSULA COMMUNITY HEALTH SERVICES
Location Address19917 7TH AVE NE, SUITE 205Poulsbo, WA 98370-7403
Mailing AddressPo Box 960Bremerton, WA 98337-0212 · (360) 478-2366 · Fax (360) 373-2096
Phone(360) 377-3776
Fax(360) 779-6449
Organization SubpartNo
Authorized OfficialJennifer Kreidler-mossCeo · (360) 377-3776
Enumeration DateMay 16, 2006
Last NPPES UpdateMay 28, 20263 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1013969351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
19917 7TH AVE NE, Poulsbo, WA 98370
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

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, WA
Active · expires Apr 4, 2028
CLIA Number50D0634977
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 30, 2025
Certificate Expiration DateApril 4, 2028
Laboratory DirectorRegina Bonnevie-Rogers
Laboratory Phone(360) 478-2366
Laboratory LocationPeninsula Community Health Services616 Sixth St, Bremerton, WA 98337
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RICHARD HEATH FOXLEE MD
Radiology (Radiation Oncology)
19917 7TH AVE NE, SUITE 100
POULSBO, WA 98370
Kitsap County (360) 697-8000
PENINSULA CANCER CENTER LLC
Radiology (Radiation Oncology)
19917 7TH AVE NE
POULSBO, WA 98370
Kitsap County (360) 697-8000
BERIT L MADSEN MD
Radiology (Radiation Oncology)
19917 7TH AVE NE
POULSBO, WA 98370
Kitsap County (360) 697-8000
KITSAP CHEST CONSULTANTS, PLLC
Specialist
19917 7TH AVE NE, SUITE 210
POULSBO, WA 98370
Kitsap County (360) 479-8057
DIANNE R. LEVISOHN MD
Dermatology
19917 7TH AVE NE, STE 203
POULSBO, WA 98370
Kitsap County (360) 824-5474
FRANCISCAN MEDICAL GROUP
Urology
19917 7TH AVE NE, STE 100
POULSBO, WA 98370
Kitsap County (360) 874-7300
WEST SOUND DERMATOLOGY PLLC
Dermatology
19917 7TH AVE NE, STE 203
POULSBO, WA 98370
Kitsap County (360) 824-5474
SIMONE A INCE MD
Dermatology
19917 7TH AVE NE, STE 203
POULSBO, WA 98370
Kitsap County (360) 824-5474

Frequently 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.

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 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 2 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.