JARRETT DALE JUDKINS MD
NPI 1356136790
Student in an Organized Health Care Education/Training Program in Chandler, AZ

Q: What is Jarrett Judkins's NPI number?

The NPI number for Jarrett Judkins is 1356136790. It was assigned to this individual provider in the NPPES registry on April 14, 2025.

Q: What is Jarrett Judkins's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jarrett Judkins was last updated on April 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 14, 2025PECOS Enrolled

1955 W FRYE RD, CHANDLER, AZ 85224(480) 728-3000 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jarrett Dale Judkins Md NPPES

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

JARRETT DALE JUDKINS MD (NPI 1356136790) is an individual student in an organized health care education/training program in Chandler, Arizona and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356136790

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJARRETT DALE JUDKINSCredential: MD

Location Address1955 W FRYE RDChandler, AZ 85224-6282

Mailing Address1955 W Frye RdChandler, AZ 85224-6282 · (480) 728-3000

Phone(480) 728-3000

Sole ProprietorNo

Enumeration DateApril 14, 2025

NPPES CertifiedApril 14, 2025

✔ NPI 1356136790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1955 W FRYE RD, Chandler, AZ 85224

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jarrett Dale Judkins Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.