JESSICA PROVOST ARNP, DNP
NPI 1225758865
Nurse Practitioner - Acute Care in Seattle, WA

Q: What is Jessica Provost's NPI number?

The NPI number for Jessica Provost is 1225758865. It was assigned to this individual provider in the NPPES registry on September 2, 2022. The provider is also known as Jessica Dziala Arnp, Dnp.

Q: What is Jessica Provost's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Provost was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 September 02, 2022PECOS EnrolledAccepts Medicare Assignment

825 EASTLAKE AVE E, SEATTLE, WA 98109(206) 520-5000 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 10, 2025, Sep 22, 2022, Sep 2, 2022 (3 updates tracked since 2022).

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About Jessica Provost Arnp, Dnp NPPES

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

JESSICA PROVOST ARNP, DNP (NPI 1225758865) is an individual acute care provider in Seattle, Washington, licensed in Washington (AP61688421) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with University Of Washington Medical Ctr, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1225758865

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameJESSICA PROVOSTCredential: ARNP, DNP

Location Address825 EASTLAKE AVE ESeattle, WA 98109-4405

Mailing AddressPo Box 50095Seattle, WA 98145-5095 · (206) 520-5700

Phone(206) 520-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateSeptember 2, 2022

Last NPPES UpdateJune 10, 20253 updates tracked since enumeration

NPPES CertifiedJune 10, 2025

✔ NPI 1225758865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in WA · AP61688421

Also ListedNurse PractitionerTaxonomy 363L00000X · License RN60739897 (WA)

825 EASTLAKE AVE E, Seattle, WA 98109

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Other Names 1

Former Name (1)Jessica Dziala Arnp, Dnp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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 Provost Arnp, Dnp 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 ID4688186968

PECOS Enrollment IDI20250623002892

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.

Hospital Affiliations CMS Care Compare

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

University Of Washington Medical Ctr

Acute Care Hospitals · Seattle, WA

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number500008

Location1959 NE Pacific St Box 356151Seattle, WA 98195 · King County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98109 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

$97.43 typical visit price

range $63.67 – $189.37

Typical copayment $24.35 (range $15.91 – $47.34)

Most-billed visit code 99203

Established Patient

$111.00 typical visit price

range $21.12 – $155.00

Typical copayment $27.75 (range $5.28 – $38.75)

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.

SANDHYA RAMANATHAN PANCH M.D.

Internal Medicine (Hematology)