JENNA MARIE MOULTON CPNP
NPI 1831583012
Nurse Practitioner - Pediatrics in New York, NY

Q: What is Jenna Moulton's NPI number?

The NPI number for Jenna Moulton is 1831583012. It was assigned to this individual provider in the NPPES registry on March 25, 2015. The provider is also known as Jenna Marie Hulton Cpnp.

Q: What is Jenna 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 Jenna Moulton was last updated on April 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 25, 2015PECOS Enrolled

535 E 70TH ST, NEW YORK, NY 10021(212) 606-1253 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jenna Marie Moulton Cpnp NPPES

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

JENNA MARIE MOULTON CPNP (NPI 1831583012) is an individual pediatrics provider in New York, New York, licensed in New York (382529) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1831583012

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameJENNA MARIE MOULTONCredential: CPNP

Location Address535 E 70TH STNew York, NY 10021-4898

Mailing Address241 N Terry Hill RdCarmel, NY 10512-5229 · (716) 983-9603

Phone(212) 606-1253

Sole ProprietorYes

Enumeration DateMarch 25, 2015

Last NPPES UpdateApril 26, 2021

NPPES CertifiedApril 26, 2021

✔ NPI 1831583012 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 NY · 382529

535 E 70TH ST, New York, NY 10021

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Other Names 1

Former Name (1)Jenna Marie Hulton Cpnp

Secondary Practice Location 1

Location 1110 W 97th StNew York, NY 10025-6450 · Phone (212) 749-1820

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenna Marie Moulton Cpnp 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 10021 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

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

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 20

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

SARAH E. MCCORD PA-C

Physician Assistant (Surgical)