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JESSICA RENAE CRADDOCK MD
NPI 1154614469
Psychiatry & Neurology - Neurology in Spokane, WA

Active since May 19, 2011PECOS EnrolledAccepts Medicare Assignment
212 E CENTRAL AVE, SUITE 440, SPOKANE, WA 99208(509) 252-9602(509) 789-9031 Get Directions Write a Review

NPPES record last updated: May 10, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 10, 2018, Aug 22, 2016, Feb 23, 2016 (3 updates tracked since 2016).

About Jessica Renae Craddock Md NPPES

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

JESSICA RENAE CRADDOCK MD (NPI 1154614469) is an individual neurology provider in Spokane, Washington, licensed in Washington (MD60644738) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS, is affiliated with St Joseph Regional Medical Center, and is a graduate of West Virginia University School Of Medicine (2011).

NPPES Registry Identity

NPI1154614469
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameJESSICA RENAE CRADDOCKCredential: MD
Location Address212 E CENTRAL AVE, SUITE 440Spokane, WA 99208-6291
Mailing AddressPo Box 421Liberty Lake, WA 99019-0421 · (866) 747-2455
Phone(509) 252-9602
Fax(509) 789-9031
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2011
Enumeration DateMay 19, 2011
Last NPPES UpdateMay 10, 20183 updates tracked since enumeration
✔ NPI 1154614469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in WA · MD60644738
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD60644738 (WA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 173365 (NC)
212 E CENTRAL AVE, Spokane, WA 99208
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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

Jessica Renae Craddock Md 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 ID9739405101
PECOS Enrollment IDI20160523002062
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
215 services173 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
29 services26 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
19 services19 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services15 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph Regional Medical Center

Acute Care Hospitals · Lewiston, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130003
Location415 Sixth StreetLewiston, ID 83501 · Nez Perce County
Emergency services Birthing friendly

Bonner General Hospital

Critical Access Hospitals · Sandpoint, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131328
Location520 North Third AvenueSandpoint, ID 83864 · Bonner County
Emergency services

Providence St Mary Medical Center

Acute Care Hospitals · Walla Walla, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500002
Location401 W Poplar StWalla Walla, WA 99362 · Walla Walla County
Emergency services Birthing friendly

Prov Sacred Hrt Med Ctr & Childs Hosp.

Acute Care Hospitals · Spokane, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500054
Location101 West 8th AvenueSpokane, WA 99204 · Spokane County
Emergency services Birthing friendly

Providence Holy Family Hospital

Acute Care Hospitals · Spokane, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500077
Location5633 North LidgerwoodSpokane, WA 99208 · Spokane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99208 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
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.

CARON M COOK P.A,
Physician Assistant
212 E CENTRAL AVE, SUITE 440
SPOKANE, WA 99208
Spokane County (509) 489-2600
BREANNA K BERGERON RD
Dietitian, Registered
212 E CENTRAL AVE, STE. 440
SPOKANE, WA 99208
Spokane County (509) 252-9602
JOHN G PETERSON MD, FACC
Internal Medicine (Cardiovascular Disease)
212 E CENTRAL AVE, SUITE 240
SPOKANE, WA 99208
Spokane County (509) 455-8820
TODD A OSTLIE PA-C
Physician Assistant
212 E CENTRAL AVE, STE 140
SPOKANE, WA 99208
Spokane County (509) 465-1300
DR. LAURIE SUMMERS M.D.
Family Medicine
212 E CENTRAL AVE, SUITE 440
SPOKANE, WA 99208
Spokane County (509) 252-9602
MR. BRAD JAMES BACHMEIER PA-C
Physician Assistant (Surgical)
212 E CENTRAL AVE, SUITE 245
SPOKANE, WA 99208
Spokane County (509) 252-1977
NORTH SPOKANE PULMONARY CLINIC, P.S.
Internal Medicine (Pulmonary Disease)
212 E CENTRAL AVE, SUITE 315
SPOKANE, WA 99208
Spokane County (509) 465-3919
CYNTHIA A HAHN MD
Neurological Surgery
212 E CENTRAL AVE, SUITE 360
SPOKANE, WA 99208
Spokane County (509) 489-6757

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 Jessica Craddock's NPI number?

The NPI number for Jessica Craddock is 1154614469. It was assigned to this individual provider in the NPPES registry on May 19, 2011.

Where is Jessica Craddock located?

Jessica Craddock practices at 212 E Central Ave Suite 440, Spokane, WA 99208. The listed phone number is (509) 252-9602.

What is Jessica Craddock's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Jessica Craddock enrolled in Medicare?

Yes. Jessica Craddock 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.

What insurance does Jessica Craddock accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jessica Craddock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jessica Craddock affiliated with any hospitals?

According to CMS data, Jessica Craddock is affiliated with St Joseph Regional Medical Center, Bonner General Hospital, Providence St Mary Medical Center, Prov Sacred Hrt Med Ctr & Childs Hosp. and Providence Holy Family Hospital.

When was this NPI record last updated?

The NPPES record for Jessica Craddock was last updated on May 10, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.