DR. JAKE DANIEL DODGE DO
NPI 1114410784
Family Medicine in Nellis Afb, NV
About Dr. Jake Daniel Dodge Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAKE DANIEL DODGE DO (NPI 1114410784) is an individual family medicine provider in Nellis Afb, Nevada, licensed in Nevada (SL1306) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with P H S Indian Hospital At Browning - Blackfeet, and maintains a secondary practice location in Denver.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
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
Dr. Jake Daniel Dodge Do 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
P H S Indian Hospital At Browning - Blackfeet
Acute Care Hospitals · Browning, MTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 89191 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Jake Dodge's NPI number?
The NPI number for Jake Dodge is 1114410784. It was assigned to this individual provider in the NPPES registry on June 8, 2018.
Where is Jake Dodge located?
Jake Dodge practices at 4700 Las Vegas Blvd N, Nellis Afb, NV 89191. The listed phone number is (915) 540-1431.
What is Jake Dodge's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jake Dodge enrolled in Medicare?
Yes. Jake Dodge 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.
Is Jake Dodge affiliated with any hospitals?
According to CMS data, Jake Dodge is affiliated with P H S Indian Hospital At Browning - Blackfeet.
When was this NPI record last updated?
The NPPES record for Jake Dodge was last updated on April 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.
