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JEREMY SUDOL APRN
NPI 1447191259
Nurse Practitioner - Primary Care in Goddard, KS

Active since April 03, 2026PECOS Enrolled
412 LONG PATH CT, GODDARD, KS 67052(201) 314-3570 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Jeremy Sudol Aprn NPPES

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

JEREMY SUDOL APRN (NPI 1447191259) is an individual primary care provider in Goddard, Kansas, licensed in Kansas (53-85462-012) and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1447191259
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameJEREMY SUDOLCredential: APRN
Location Address412 LONG PATH CTGoddard, KS 67052-4302
Mailing Address412 Long Path CtGoddard, KS 67052-4302 · (201) 314-3570
Phone(201) 314-3570
Sole ProprietorYes
Medical School CMSOtherGraduated 2026
Enumeration DateApril 3, 2026
NPPES CertifiedApril 3, 2026
✔ NPI 1447191259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in KS · 53-85462-012
412 LONG PATH CT, Goddard, KS 67052
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeremy Sudol Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143791095
PECOS Enrollment IDI20260602002216
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 67052 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

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 Jeremy Sudol's NPI number?

The NPI number for Jeremy Sudol is 1447191259. It was assigned to this individual provider in the NPPES registry on April 3, 2026.

Where is Jeremy Sudol located?

Jeremy Sudol practices at 412 Long Path Ct, Goddard, KS 67052. The listed phone number is (201) 314-3570.

What is Jeremy Sudol's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Jeremy Sudol enrolled in Medicare?

Yes. Jeremy Sudol is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeremy Sudol was last updated on April 3, 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.