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

Joanna Jill Moulton, PNP, RN

Individual provider Registered Nurse · NPI 1093992034

Joanna Jill Moulton, PNP, RN is a Nurse Practitioner in New York, New York. Qualified in 2008, 18 years ago. Practices with Stc Pediatrics LLC, a 70-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
18
Licensed in
NY
In the registry since
2008
Specialties on file
2
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1275 York Ave 9th Fl Dept OF Pediatrics
New York, NY 10065-6007 Not confirmed with CMS for 18 years — call before visiting
Phone: (212) 639-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 381942 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 541901 (NY)

Record details

NPI number1093992034
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP , RN
Sole proprietorNo
NPI enumeratedJanuary 22, 2008
Last updated in NPPESJanuary 22, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Stc Pediatrics Llc — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Colleagues at Stc Pediatrics LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 70 clinicians in the practice; 12 are shown here.

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