JOANNA JILL MOULTON PNP, RN
NPI 1093992034
Nurse Practitioner - Pediatrics in New York, NY
About Joanna Jill Moulton Pnp, Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOANNA JILL MOULTON PNP, RN (NPI 1093992034) is an individual pediatrics provider in New York, New York, licensed in New York (381942) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Joanna Jill Moulton Pnp, Rn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Joanna Moulton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Yardley, PA 19067
- Reassigned Medicare billing, Pennsylvania enrollment
- 479 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10065
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 Joanna Moulton's NPI number?
The NPI number for Joanna Moulton is 1093992034. It was assigned to this individual provider in the NPPES registry on January 22, 2008.
Where is Joanna Moulton located?
Joanna Moulton practices at 1275 York Ave 9th Floor Department Of Pediatrics, New York, NY 10065. The listed phone number is (212) 639-2000.
What is Joanna Moulton's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Joanna Moulton enrolled in Medicare?
Yes. Joanna Moulton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Joanna Moulton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joanna Moulton reassigns Medicare benefits to Stc Pediatrics LLC (Yardley, PA). The 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 Joanna Moulton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Joanna Moulton accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Joanna Moulton 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 Joanna Moulton was last updated on January 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.
# Joanna Jill Moulton, PNP, RN · NPI 1093992034
Pediatrics physician in New York, New York. Individual provider, active in the CMS NPPES registry since January 22, 2008.
## Identity
- **NPI:** 1093992034 (Entity type: Individual)
- **Enumerated:** January 22, 2008
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 381942 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1275 YORK AVE, 9TH FLOOR DEPARTMENT OF PEDIATRICS, New York, NY 10065-6007
- **Phone:** (212) 639-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Stc Pediatrics LLC (NPI 1811532518, Yardley, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** January 22, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1093992034) · Data from the CMS NPPES public registry.