Peninsula Community Health Services
NPI 1639812589 · Federally Qualified Health Center (FQHC) · Kingston, WA
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Peninsula Community Health Services is a Federally Qualified Health Center (FQHC) organization in Kingston, WA (NPI 1639812589).
Provider details
- NPI number
- 1639812589
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Kreidler-Moss, Ceo(360) 377-3776
Specialties & taxonomies
Ambulatory Health Care Facilities
- Counselor101Y00000X
Behavioral Health & Social Service Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Social Worker104100000X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-04-19
- Last updated
- 2026-05-28
- Certified
- 2026-05-28
Frequently asked questions
- What is Peninsula Community Health Services's NPI number?
- Peninsula Community Health Services's National Provider Identifier (NPI) is 1639812589, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peninsula Community Health Services?
- Peninsula Community Health Services is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Peninsula Community Health Services located?
- Peninsula Community Health Services's practice location on file with NPPES is 26201 Siyaya Ave Ne Rm 121, Kingston, WA 98346-9367.
- What is Peninsula Community Health Services's phone number?
- The practice phone number listed in the NPPES registry for Peninsula Community Health Services is (360) 377-3776.
- Does Peninsula Community Health Services accept Medicare?
- Peninsula Community Health Services is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Peninsula Community Health Services?
- The authorized official listed on Peninsula Community Health Services's NPPES record is Jennifer Kreidler-Moss, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peninsula Community Health Services's NPI active?
- Yes — Peninsula Community Health Services's NPI (1639812589) is active in the NPPES registry as of the last update on 2026-05-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.