JESSIKA MOULTON APRN
NPI 1528787124
Nurse Practitioner - Pediatrics in Pinellas Park, FL

Q: What is Jessika Moulton's NPI number?

The NPI number for Jessika Moulton is 1528787124. It was assigned to this individual provider in the NPPES registry on August 25, 2022.

Q: What is Jessika Moulton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Jessika Moulton was last updated on May 13, 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.

Active since August 25, 2022PECOS Enrolled

7550 43RD ST N, PINELLAS PARK, FL 33781(727) 824-8181 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2026, Oct 20, 2022, Aug 25, 2022 (3 updates tracked since 2022).

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About Jessika Moulton Aprn NPPES

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

JESSIKA MOULTON APRN (NPI 1528787124) is an individual pediatrics provider in Pinellas Park, Florida, licensed in Florida (APRN11020722) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528787124

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameJESSIKA MOULTONCredential: APRN

Location Address7550 43RD ST NPinellas Park, FL 33781-3601

Mailing Address2115 Central AveSt Petersburg, FL 33713-8815 · (727) 526-9135 · Fax (727) 526-4346

Phone(727) 824-8181

Sole ProprietorNo

Enumeration DateAugust 25, 2022

Last NPPES UpdateMay 13, 20263 updates tracked since enumeration

NPPES CertifiedMay 13, 2026

✔ NPI 1528787124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in FL · APRN11020722

7550 43RD ST N, Pinellas Park, FL 33781

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessika Moulton Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33781 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.

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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.

MARK LLOYD NIELSEN II APRN

Nurse Practitioner (Family)