Joanna Jill Moulton, PNP, RN
NPI 1093992034ActiveIndividual· Nurse Practitioner, Pediatrics· New York, NY
Nurse Practitioner, Pediatrics (PNP, RN) with Stc Pediatrics LLC, practicing in New York, New York. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1093992034 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PNP, RN |
| Sole proprietor | No |
| NPI issued | Jan 22, 2008 |
| Last updated in NPPES | Jan 22, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Pediatrics Primary | 363LP0200X | 381942 | NY |
| Registered Nurse | 163W00000X | 541901 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (PA) |
|---|
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Stc Pediatrics LLCPhiladelphia, PA · 69 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner, Pediatrics providers in New York
- 1376013268
- 1295003739
- 1336753870
- 1316246077
- 1417831777
- 1790602902
- 1982010260
- 1023530607
- 1124053129
- 1760959985
- 1659848513
- 1164209565