PENINSULA COMMUNITY HEALTH SERVICES
NPI 1528547940
Dentist 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 1528547940) is a healthcare organization registered as a dentist in Poulsbo, Washington and active in the NPI registry since August 2018. The organization lists Jennifer Lynn Kreidler-moss, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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.
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 1528547940. It was assigned to this organization in the NPPES registry on August 7, 2018.
Where is Peninsula Community Health Services located?
Peninsula Community Health Services is located at 19705 Viking Avenue NW Suite 201 Bldg A, 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 Dentist with taxonomy code 122300000X.
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.
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 August 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Peninsula Community Health Services · NPI 1528547940
Dentist organization in Poulsbo, Washington. Organization record, active in the CMS NPPES registry since August 7, 2018.
## Identity
- **NPI:** 1528547940 (Entity type: Organization)
- **Enumerated:** August 7, 2018
- **Primary specialty:** Dentist · taxonomy 122300000X
- **Organization subpart:** No
- **Authorized official:** Jennifer Kreidler-Moss, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 19705 VIKING AVENUE NW, SUITE 201 BLDG A, Poulsbo, WA 98370-8351
- **Phone:** (360) 377-3776
## 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/1528547940/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 7, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1528547940) · Data from the CMS NPPES public registry.