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JARED DUDLEY ARNP
NPI 1417459850
Nurse Practitioner - Family in Spokane, WA

Active since March 01, 2018PECOS Enrolled
5901 N LIDGERWOOD ST STE 220, SPOKANE, WA 99208(509) 483-4060(509) 483-0043 Get Directions Write a Review

NPPES record last updated: May 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 2, 2018, Mar 1, 2018 (2 updates tracked since 2018).

About Jared Dudley Arnp NPPES

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

JARED DUDLEY ARNP (NPI 1417459850) is an individual family provider in Spokane, Washington, licensed in Washington (AP60852925) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Nine Mile Falls.

NPPES Registry Identity

NPI1417459850
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJARED DUDLEYCredential: ARNP
Location Address5901 N LIDGERWOOD ST STE 220Spokane, WA 99208-1122
Mailing Address6378 Sundown DrNine Mile Falls, WA 99026-9545 · (509) 251-7857
Phone(509) 483-4060
Fax(509) 483-0043
Sole ProprietorNo
Enumeration DateMarch 1, 2018
Last NPPES UpdateMay 2, 20182 updates tracked since enumeration
✔ NPI 1417459850 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 WA · AP60852925
5901 N LIDGERWOOD ST STE 220, Spokane, WA 99208
Open in Google Maps ↗

Secondary Practice Location 1

Location 16378 Sundown DrNine Mile Falls, WA 99026-9545 · Phone (509) 251-7857

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jared Dudley Arnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99208 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.

Other Providers at the Same Location NPPES

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

BROOKE JORDAN A.R.N.P
Nurse Practitioner (Family)
5901 N LIDGERWOOD ST STE 220
SPOKANE, WA 99208
Spokane County (509) 483-4060

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 Jared Dudley's NPI number?

The NPI number for Jared Dudley is 1417459850. It was assigned to this individual provider in the NPPES registry on March 1, 2018.

Where is Jared Dudley located?

Jared Dudley practices at 5901 N Lidgerwood St Ste 220, Spokane, WA 99208. The listed phone number is (509) 483-4060.

What is Jared Dudley's specialty?

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

Is Jared Dudley enrolled in Medicare?

Yes. Jared Dudley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jared Dudley was last updated on May 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.