MRS. JESSIE JIYEON DZIDUCH FNP-C
NPI 1265900591
Nurse Practitioner in Arlington, WA
About Mrs. Jessie Jiyeon Dziduch Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JESSIE JIYEON DZIDUCH FNP-C (NPI 1265900591) is an individual nurse practitioner in Arlington, Washington, licensed in Washington (AP61340468) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Seattle, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Mrs. Jessie Jiyeon Dziduch Fnp-c 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.
Medicare Billing Reassignments
3Medicare enrollment records show Jessie Dziduch reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Arlington, WA 98223
- Reassigned Medicare billing, Washington enrollment
- 1,285 clinicians in this Medicare group
Seattle, WA 98122
- Reassigned Medicare billing, Washington enrollment
- 911 clinicians in this Medicare group
Buckeye, AZ 85326
- Reassigned Medicare billing, Arizona enrollment
- 107 clinicians in this Medicare group
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 6
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98223 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 8
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 Jessie Dziduch's NPI number?
The NPI number for Jessie Dziduch is 1265900591. It was assigned to this individual provider in the NPPES registry on November 5, 2018.
Where is Jessie Dziduch located?
Jessie Dziduch practices at 4011 172nd St NE, Arlington, WA 98223. The listed phone number is (142) 525-9096.
What is Jessie Dziduch's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Jessie Dziduch enrolled in Medicare?
Yes. Jessie Dziduch 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.
Which organizations bill Medicare for Jessie Dziduch's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessie Dziduch reassigns Medicare benefits to 3 organizations: Optum Care Washington PLLC (Arlington, WA), The Polyclinic PLLC (Seattle, WA) and The Little Clinic Of Arizona LLC (Buckeye, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessie Dziduch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jessie Dziduch accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jessie Dziduch 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.
When was this NPI record last updated?
The NPPES record for Jessie Dziduch was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mrs. Jessie Jiyeon Dziduch, FNP-C · NPI 1265900591
Nurse Practitioner physician in Arlington, Washington. Individual provider, active in the CMS NPPES registry since November 5, 2018.
## Identity
- **NPI:** 1265900591 (Entity type: Individual)
- **Enumerated:** November 5, 2018
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** AP61340468 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 4011 172ND ST NE, Arlington, WA 98223-8482
- **Phone:** (142) 525-9096
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Optum Care Washington PLLC (NPI 1366154304, Arlington, WA); The Polyclinic PLLC (NPI 1174594634, Seattle, WA); The Little Clinic Of Arizona LLC (NPI 1023216249, Buckeye, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** May 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1265900591) · Data from the CMS NPPES public registry.