Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Peninsula Community Health Services

Organization Family Medicine Physician · NPI 1538643853

Peninsula Community Health Services is a Family Medicine Physician in Shelton, Washington. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
6

Practice location Address checks out

627 W Franklin St
Shelton, WA 98584-3504
Phone: (360) 377-3776
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1538643853
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Kreidler-Moss — Ceo · (360) 377-3776
NPI enumeratedSeptember 21, 2018
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026
Mailing addressPo Box 960, Bremerton, WA 98337-0212

Other providers in Shelton