JENNIFER NICOLE MOULTRIE - NPI 1346978608 - Nurse Practitioner in Pensacola, FL

Q: What is Jennifer Moultrie's NPI number?

The NPI number for Jennifer Moultrie is 1346978608. It was assigned to this individual provider in the NPPES registry on August 12, 2022.

Q: What is Jennifer Moultrie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Moultrie was last updated on July 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jennifer Nicole Moultrie NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER NICOLE MOULTRIE (NPI 1346978608) is an individual adult health provider in Pensacola, Florida, licensed in Florida (11019436) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (2021).

NPPES Registry Identity

NPI1346978608

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameJENNIFER NICOLE MOULTRIE

Location Address4929 MOBILE HWYPensacola, FL 32506-3229

Mailing Address4929 Mobile HwyPensacola, FL 32506-3229 · (850) 712-5877 · Fax (850) 961-0011

Phone(850) 960-7971

Fax(850) 961-0011

Sole ProprietorNo

Medical School CMSGeorgetown University School Of MedicineGraduated 2021

Enumeration DateAugust 12, 2022

Last NPPES UpdateJuly 9, 20253 updates tracked since enumeration

NPPES CertifiedJuly 9, 2025

✔ NPI 1346978608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in FL · 11019436

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License APRN11019436 (FL)

4929 MOBILE HWY, Pensacola, FL 32506

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Nicole Moultrie 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.

PECOS PAC ID8820462666

PECOS Enrollment IDI20230320000198

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

30 services28 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

JAMES REED GAHAGAN D.O.

Family Medicine