DR. JESSIE ROBERTS FUDGE MD
NPI 1386830610
Family Medicine - Sports Medicine in Everett, WA

Q: What is Jessie Fudge's NPI number?

The NPI number for Jessie Fudge is 1386830610. It was assigned to this individual provider in the NPPES registry on September 20, 2007. The provider is also known as Jessie Marie Roberts MD.

Q: What is Jessie Fudge's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Jessie Fudge was last updated on April 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 20, 2007PECOS EnrolledAccepts Medicare Assignment

2930 MAPLE ST, EVERETT, WA 98201(425) 502-3600 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Jessie Roberts Fudge Md NPPES

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

DR. JESSIE ROBERTS FUDGE MD (NPI 1386830610) is an individual sports medicine provider in Everett, Washington, licensed in Washington (MD 60141711) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (2007).

NPPES Registry Identity

NPI1386830610

Entity TypeIndividualFemale

Primary Taxonomy207QS0010X

Provider Legal NameDR. JESSIE ROBERTS FUDGECredential: MD

Location Address2930 MAPLE STEverett, WA 98201-3832

Mailing Address2930 Maple StreetEverett, WA 98201 · (425) 502-3600

Phone(425) 502-3600

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2007

Enumeration DateSeptember 20, 2007

Last NPPES UpdateApril 7, 2021

NPPES CertifiedApril 7, 2021

✔ NPI 1386830610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in WA · MD 60141711

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License MD 60141711 (WA)

2930 MAPLE ST, Everett, WA 98201

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Other Names 1

Former Name (1)Jessie Marie Roberts Md

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

Dr. Jessie Roberts Fudge 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 ID547413445

PECOS Enrollment IDI20121228000280

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98201 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

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.

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