JADE AMMONS FNP-BC
NPI 1164836862
Nurse Practitioner - Family in Grand Forks, ND

Q: What is Jade Ammons's NPI number?

The NPI number for Jade Ammons is 1164836862. It was assigned to this individual provider in the NPPES registry on June 20, 2014. The provider is also known as Jade Hendricks.

Q: What is Jade Ammons's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jade Ammons was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 20, 2014PECOS EnrolledAccepts Medicare Assignment

3301 30TH AVE S STE 102, GRAND FORKS, ND 58201(877) 522-1275(833) 888-7145 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 6, 2025, Jul 18, 2024, Mar 31, 2020 and 1 more (4 updates tracked since 2016).

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About Jade Ammons Fnp-bc NPPES

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

JADE AMMONS FNP-BC (NPI 1164836862) is an individual family provider in Grand Forks, North Dakota, licensed in West Virginia (APRN79841NP) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1164836862

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJADE AMMONSCredential: FNP-BC

Location Address3301 30TH AVE S STE 102Grand Forks, ND 58201-6009

Mailing Address500 Sw 7th St # A205Renton, WA 98057-2983 · (877) 522-1275 · Fax (833) 888-7145

Phone(877) 522-1275

Fax(833) 888-7145

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateJune 20, 2014

Last NPPES UpdateMarch 6, 20254 updates tracked since enumeration

NPPES CertifiedMarch 6, 2025

✔ NPI 1164836862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in WV · APRN79841NP

3301 30TH AVE S STE 102, Grand Forks, ND 58201

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Other Names 1

Former Name (1)Jade Hendricks

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, CareSource, Health Advantage and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jade Ammons Fnp-bc 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 ID7618196585

PECOS Enrollment IDI20180628001215, I20180801000684, I20201116002636, I20210604001522, I20231120001719, I20240307002847, I20240801001991, I20250429000939, I20251104000872

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.

Medicare Billing Reassignments

Medicare enrollment records show Jade Ammons reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ideal Option, PLLC

1,049 mi

Clinic/Center

8508 W GAGE BLVD STE A101
Kennewick, WA 99336

Reassigned Medicare billing, Arkansas, Idaho, Maryland, Montana, North Dakota, New Mexico, Oregon, Washington and West Virginia enrollments
32 clinicians in this Medicare group

NPI 1457788275 (877) 522-1275

Ideal Telemedicine Services, LLC

1,168 mi

Clinic/Center

500 SW 7TH ST STE A205
Renton, WA 98057

Reassigned Medicare billing, Arkansas, District of Columbia, Idaho, Maryland, Montana, North Dakota, New Mexico, Oregon, Washington and West Virginia enrollments
32 clinicians in this Medicare group

NPI 1346754868 (877) 522-1275

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

40 services28 patients

Telehealth originating site facility fee Q3014

The Telehealth originating site facility fee is a charge for the location where you receive your telehealth service, such as a clinic or hospital. It covers costs like equipment use, technical support, and other resources needed to provide a secure, effective telehealth visit.

38 services16 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.

17 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58201 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

$85.71 typical visit price

range $55.75 – $168.12

Typical copayment $21.42 (range $13.93 – $42.03)

Most-billed visit code 99203

Established Patient

$98.29 typical visit price

range $18.11 – $137.65

Typical copayment $24.57 (range $4.52 – $34.41)

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 6

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

HEATHER MCMANIGAL ARNP

Nurse Practitioner (Family)