Jonathan Ingram, PMHNP - Medicare Nurse Practitioner in Moses Lake, WA

Jonathan Ingram, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Moses Lake, Washington. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Grant County Public Hospital District 1 and his current practice location is 1550 S Pioneer Way Ste 165, Moses Lake, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 793-9780.

Jonathan Ingram is licensed to practice in Washington (license number AP60491883) 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 1336557867.

Contact Information

Jonathan Ingram, PMHNP
1550 S Pioneer Way Ste 165,
Moses Lake, WA 98837-4637
(509) 793-9780
(509) 764-3246



Provider's Profile

Full NameJonathan Ingram
GenderMale
SpecialityNurse Practitioner
Experience10 Years
Location1550 S Pioneer Way Ste 165, Moses Lake, Washington
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jonathan Ingram graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1336557867
  • Provider Enumeration Date: 07/28/2014
  • Last Update Date: 03/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1355568528
  • Enrollment ID: I20140812000842

Medical Identifiers

Medical identifiers for Jonathan Ingram such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336557867NPI-NPPES
2038198MedicaidWA
G8994731OtherWAMEDICARE PIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health AP60491883 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Samaritan HospitalMoses lake, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Grant County Public Hospital District 1993109569286

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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. Jonathan Ingram allows following entities to bill medicare on his behalf.
Entity NameGrant County Public Hospital District 1
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619086766
PECOS PAC ID: 9931095692
Enrollment ID: O20040227000602

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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. Jonathan Ingram 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 AddressPractice Location Address
Jonathan Ingram, PMHNP
660 S Coolidge St,
Moses Lake, WA 98837-1872

Ph: (509) 793-9715
Jonathan Ingram, PMHNP
1550 S Pioneer Way Ste 165,
Moses Lake, WA 98837-4637

Ph: (509) 793-9780

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Nurse Practitioner Nurses in Moses Lake, WA

Francie Hudak,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 605 S Coolidge St, Moses Lake, WA 98837
Phone: 509-765-0674    
Shawta Sackett, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 605 S Coolidge St, Moses Lake, WA 98837
Phone: 509-765-0674    Fax: 509-764-0344
Braeden R Cook, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 840 E Hill Ave, Moses Lake, WA 98837
Phone: 509-663-8711    
Leona M Hays, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 840 E Hill Ave, Moses Lake, WA 98837
Phone: 509-765-0216    
Charlene Clark, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 840 E Hill Ave, Moses Lake, WA 98837
Phone: 509-663-8711    Fax: 731-658-4079
Ms. Ioly Tabita Lewis, PMHNP/ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 840 E Hill Ave, Moses Lake, WA 98837
Phone: 509-663-8711    
Ms. Sheila Renee Wilkey, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1550 S Pioneer Way, Moses Lake, WA 98837
Phone: 509-793-9790    Fax: 509-764-3255

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