JORIE J. MOBERLEY PHD CPNP NPI 1093717746

NPI Information

  • NPI: 1093717746
  • Provider Name: JORIE J. MOBERLEY, PHD, CPNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9470 BROADWAY
    CROWN POINT, IN
    ZIP 46307
  • Phone: (219) 661-3260

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NPI Details

Jorie J. Moberley, PHD, CPNP is a pediatrics nurse practitioner in Crown Point, IN. Jorie J. Moberley, PHD, CPNP NPI is 1093717746. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9470 BROADWAY
CROWN POINT, IN
ZIP 46307-722
Phone: (219) 661-3260
Fax: (219) 661-3770

The NPI 1093717746 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/12/2005 and was last updated on 7/31/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0200XRegistered NursePediatrics28142503AINDIANANo
2363L00000XNurse Practitioner71002006AINDIANANo
3363LP0200XNurse PractitionerPediatrics71002006AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200206460MEDICAIDINDIANA
2000000721668OTHERINDIANAANTHEM TRADITIONAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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