JARED J WEST
NPI 1679035406
Student in an Organized Health Care Education/Training Program in Green Bay, WI

Q: What is Jared West's NPI number?

The NPI number for Jared West is 1679035406. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Q: What is Jared West'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 Jared West was last updated on April 1, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 01, 2019PECOS Enrolled

2851 UNIVERSITY AVE, GREEN BAY, WI 54311(920) 431-2642 Get Directions Write a Review

NPPES record last updated: April 1, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jared J West NPPES

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

JARED J WEST (NPI 1679035406) is an individual student in an organized health care education/training program in Green Bay, Wisconsin and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679035406

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJARED J WEST

Location Address2851 UNIVERSITY AVEGreen Bay, WI 54311-5855

Mailing Address2851 University AveGreen Bay, WI 54311-5855 · (920) 431-2642

Phone(920) 431-2642

Sole ProprietorNo

Enumeration DateApril 1, 2019

✔ NPI 1679035406 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.

2851 UNIVERSITY AVE, Green Bay, WI 54311

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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)

Jared J West 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.