JARED EDWARD BRUDER ARNP
NPI 1023654548
Nurse Practitioner - Psychiatric/Mental Health in Spokane, WA

Active since November 19, 2019PECOS EnrolledAccepts Medicare Assignment
505 E NORTH FOOTHILLS DR, SPOKANE, WA 99207(509) 838-4651(509) 456-4536 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 4, 2026, Apr 15, 2026, Apr 10, 2026 and 4 more (7 updates tracked since 2019).

About Jared Edward Bruder Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JARED EDWARD BRUDER ARNP (NPI 1023654548) is an individual psychiatric/mental health provider in Spokane, Washington, licensed in Washington (61017581) and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Coeur D Alene, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1023654548
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJARED EDWARD BRUDERCredential: ARNP
Location Address505 E NORTH FOOTHILLS DRSpokane, WA 99207-2101
Mailing Address107 S Division StSpokane, WA 99202-1510 · (509) 838-4651 · Fax (509) 456-4536
Fax(509) 456-4536
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 19, 2019
Last NPPES UpdateJune 4, 20267 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
NPI 1023654548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in WA · 61017581
Also ListedNurse PractitionerTaxonomy 363L00000X · License 67924 (ID)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP61017581 (WA)
505 E NORTH FOOTHILLS DR, Spokane, WA 99207

Secondary Practice Location 1

Location 11110 W Park Pl Ste 320Coeur D Alene, ID 83814-2783 · Phone (208) 261-2255 · Fax (208) 473-7271

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jared Edward Bruder Arnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608201405
PECOS Enrollment IDI20200218000101, I20210510000979
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
505 E NORTH FOOTHILLS DR
SPOKANE, WA 99207
Registered Nurse
505 E NORTH FOOTHILLS DR
SPOKANE, WA 99207
Registered Nurse
505 E NORTH FOOTHILLS DR
SPOKANE, WA 99207
Registered Nurse
505 E NORTH FOOTHILLS DR
SPOKANE, WA 99207
Registered Nurse
505 E NORTH FOOTHILLS DR
SPOKANE, WA 99207
Counselor
505 E NORTH FOOTHILLS DR
SPOKANE, WA 99207
Registered Nurse
505 E NORTH FOOTHILLS DR
SPOKANE, WA 99207
Counselor
505 E NORTH FOOTHILLS DR
SPOKANE, WA 99207

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jared Bruder's NPI number?

The NPI number for Jared Bruder is 1023654548. It was assigned to this individual provider in the NPPES registry on November 19, 2019.

Where is Jared Bruder located?

Jared Bruder practices at 505 E North Foothills Dr, Spokane, WA 99207. The listed phone number is (509) 838-4651.

What is Jared Bruder's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jared Bruder enrolled in Medicare?

Yes. Jared Bruder is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jared Bruder was last updated on June 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.