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JARED WILLIAM NELSON MD
NPI 1528034980
Family Medicine in Liberty Lake, WA

Active since February 27, 2006Opted out of Medicare · through Apr 1, 2028
2207 N MOLTER RD STE 203, LIBERTY LAKE, WA 99019(509) 348-2214(509) 903-0040 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2026, Mar 24, 2016 (2 updates tracked since 2016).

About Jared William Nelson Md NPPES

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

JARED WILLIAM NELSON MD (NPI 1528034980) is an individual family medicine provider in Liberty Lake, Washington, licensed in Washington (MD60272838) and active in the NPI registry since February 2006. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1528034980
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJARED WILLIAM NELSONCredential: MD
Location Address2207 N MOLTER RD STE 203Liberty Lake, WA 99019-7571
Mailing Address2207 N Molter Rd Ste 203Liberty Lake, WA 99019-7571 · (509) 348-2214 · Fax (509) 902-0040
Phone(509) 348-2214
Fax(509) 903-0040
Sole ProprietorNo
Enumeration DateFebruary 27, 2006
Last NPPES UpdateJanuary 5, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2026
✔ NPI 1528034980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD60272838
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2207 N MOLTER RD STE 203, Liberty Lake, WA 99019
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Other Identifiers 1

Medicaid287973OR

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jared William Nelson Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99019 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
2 suppliers32 claims64 services$54.58 avg. paid by Medicare
For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5514
DME-Orthotic Devices · category DF000N
2 suppliers30 claims180 services$36.34 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier14 claims14 services$172.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

JENNIFER ANNE NAKATA NP
Nurse Practitioner (Family)
2207 N MOLTER RD STE 203
LIBERTY LAKE, WA 99019
Spokane County (509) 399-7275
DROSTAN GREGG BAKER MD
Family Medicine
2207 N MOLTER RD STE 203
LIBERTY LAKE, WA 99019
Spokane County (509) 565-8803
DGB PLLC
Family Medicine
2207 N MOLTER RD STE 203
LIBERTY LAKE, WA 99019
Spokane County (509) 565-8803
KINGSFORD PHYSICAL THERAPY AND WELLNESS PLLC
Clinic/Center (Physical Therapy)
2207 N MOLTER RD STE 203
LIBERTY LAKE, WA 99019
Spokane County (509) 598-9402

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 Nelson's NPI number?

The NPI number for Jared Nelson is 1528034980. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Where is Jared Nelson located?

Jared Nelson practices at 2207 N Molter Rd Ste 203, Liberty Lake, WA 99019. The listed phone number is (509) 348-2214.

What is Jared Nelson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jared Nelson enrolled in Medicare?

No. Jared Nelson has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jared Nelson was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.