JENNIFER PEARSON (FNP-C) – Family Nurse Practitioner, NPI 1649854076

JENNIFER PEARSON (FNP-C) is a healthcare provider. based in Moses lake, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. APRN.AP.70004819-NP (WA). The NPI Number for JENNIFER PEARSON (FNP-C) is 1649854076

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER PEARSON (FNP-C)
NPI
1649854076
Phone
(509) 793-9788
Address
660 S COOLIDGE ST
Enumeration Date
11 May 2021
Last Update Date
4 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5097939780
Graduation Year
2020 (6 years ago)
PAC ID
7012371321
Group Practice PAC ID
9931095692
Professional Enrollment ID
I20250828002334
Address ID
WA988374613MO1550XWAYX400

Contacts

Secure Messaging
jpearson4015657@wm.providencedirect.org
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness95
Years active:5State licenses:3Other names

887 NURSE PRACTITIONER in HI

Provider Addresses for JENNIFER PEARSON (FNP-C)

  • 660 S COOLIDGE ST

    MOSES LAKE, WA 988371872

    Phone: (509) 793-9788

    Fax: (509) 764-3284

    Type: Mailing

  • HC 1 BOX 5037

    KEAAU, HI 967499503

    Phone: (404) 488-6798

    Type: Mailing

  • 73 PUUHONU PL STE 104

    HILO, HI 967202060

    Phone: (808) 935-6353

    Type: Location

  • 1616 S PIONEER WAY

    MOSES LAKE, WA 988372487

    Phone: (509) 793-9715

    Fax: (509) 764-3244

    Type: Mailing

  • 1550 S PIONEER WAY

    MOSES LAKE, WA 988374613

    Phone: (509) 793-9780

    Fax: (509) 764-3245

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230919003030INurse PractitionerHITBD
I20250828002334INurse PractitionerWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98837)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931095692View full group profile
NameSpecialtyState
Family PracticeKY
Emergency MedicineWA
Family PracticeWA
Physician AssistantWA
-PA
Emergency MedicineNJ
Physician AssistantOH
Mental Health CounselorWA
Emergency MedicineMA
Certified Registered Nurse Anesthetist (Crna)IN

Reviews

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Frequently asked questions

What identifier follows JENNIFER PEARSON (FNP-C) across health systems?
The NPI 1649854076 uniquely identifies JENNIFER PEARSON (FNP-C) in U.S. healthcare data.
Is JENNIFER PEARSON (FNP-C) currently accepting referrals based on NPI status?
Registry metadata lists JENNIFER PEARSON (FNP-C) as active.
What does the directory say JENNIFER PEARSON (FNP-C) does?
Insurance directories may phrase it differently, but here JENNIFER PEARSON (FNP-C) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JENNIFER PEARSON (FNP-C) tied to Moses Lake, Washington?
If you are local to Moses Lake, Washington, JENNIFER PEARSON (FNP-C) may be relevant to your search.
Who maintains JENNIFER PEARSON (FNP-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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