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

Jonathan Ingram, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1336557867

Jonathan Ingram, PMHNP is a Nurse Practitioner in Moses Lake, Washington. Qualified in 2014, 12 years ago. Practices with Grant County Public Hospital District 1, a 94-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
12
Licensed in
WA
In the registry since
2014
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

1550 S Pioneer Way Ste 165
Moses Lake, WA 98837-4637
Phone: (509) 793-9780
Fax: (509) 764-3246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP60491883 (WA)

Record details

NPI number1336557867
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedJuly 28, 2014
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026
Mailing address1616 S Pioneer Way, Moses Lake, WA 98837-2487

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Grant County Public Hospital District 1 — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Moses Lake