Jacob Muldoon, is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health" in Snoqualmie, Washington. He graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Public Hospital District No 4 King County Washington and his current practice location is
35020 Se Kinsey St Ste A, Snoqualmie, Washington. You can reach out to his office (for appointments etc.) via phone at
(425) 831-2313.
Jacob Muldoon is licensed to practice in Washington (license number ARNP.AP.61665929-NP) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1699453787.
Provider's Profile
| Full Name | Jacob Muldoon |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 35020 Se Kinsey St Ste A, Snoqualmie, Washington |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jacob Muldoon graduated from nursing school in 2024
NPI Data:
- NPI Number: 1699453787
- Provider Enumeration Date: 07/07/2023
- Last Update Date: 10/02/2026
Medicare PECOS Information:
- PECOS PAC ID: 8022520337
- Enrollment ID: I20250623003340
Medical Identifiers
Medical identifiers for Jacob Muldoon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1699453787 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 364SP0807X | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent | ARNP.AP.61665929-NP (Washington) | Secondary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | ARNP.AP.61665929-NP (Washington) | Primary |
| 364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | ARNP.AP.61665929-NP (Washington) | Secondary |
| 364SP0810X | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Family | ARNP.AP.61665929-NP (Washington) | Secondary |
| 163W00000X | Registered Nurse | RN60935677 (Washington) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Public Hospital District No 4 King County Washington | 6002700861 | 85 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacob Muldoon allows following entities to bill medicare on his behalf.
| Entity Name | Public Hospital District No 4 King County Washington |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902846546 PECOS PAC ID: 6002700861 Enrollment ID: O20040211001236 |
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| Entity Name | Public Hospital District No 4 King County Washington |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1902846546 PECOS PAC ID: 6002700861 Enrollment ID: O20061104000416 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob Muldoon is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jacob Muldoon, 9800 Roosevelt Way Ne Apt 26, Seattle, WA 98115-2249 Ph: (425) 445-9930 | Jacob Muldoon, 35020 Se Kinsey St Ste A, Snoqualmie, WA 98065-8992 Ph: (425) 831-2313 |
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