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JARED MUDGE PA-C
NPI 1679398929
Physician Assistant - Medical in Post Falls, ID

Active since November 21, 2024PECOS EnrolledAccepts Medicare Assignment
1551 E MULLAN AVE STE 200B, POST FALLS, ID 83854(208) 262-2213(208) 262-2214 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 22, 2026, Nov 21, 2024 (2 updates tracked since 2024).

About Jared Mudge Pa-c NPPES

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

JARED MUDGE PA-C (NPI 1679398929) is an individual medical provider in Post Falls, Idaho, licensed in Idaho (5761672) and active in the NPI registry since November 2024. He is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1679398929
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJARED MUDGECredential: PA-C
Location Address1551 E MULLAN AVE STE 200BPost Falls, ID 83854-9005
Mailing Address1593 E Polston AvePost Falls, ID 83854-5326 · (208) 262-2300 · Fax (208) 262-2390
Phone(208) 262-2213
Fax(208) 262-2214
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 21, 2024
Last NPPES UpdateJanuary 22, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2026
✔ NPI 1679398929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in ID · 5761672
1551 E MULLAN AVE STE 200B, Post Falls, ID 83854
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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

Jared Mudge Pa-c 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 ID8527579275
PECOS Enrollment IDI20250618003133
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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kootenai Health

Acute Care Hospitals · Coeur D'alene, ID
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number130049
Location2003 Kootenai Health WayCoeur D'alene, ID 83814 · Kootenai County
Emergency services Birthing friendly

Northwest Specialty Hospital

Acute Care Hospitals · Post Falls, ID
OwnershipProprietary
CMS Certification Number130066
Location1593 East Polston AvenuePost Falls, ID 83854 · Kootenai County

Benewah Community Hospital

Critical Access Hospitals · St Maries, ID
OwnershipGovernment - Local
CMS Certification Number131317
Location229 South 7th StreetSt Maries, ID 83861 · Benewah County
Emergency services

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.

MEGAN LINDERS DO
Family Medicine
1551 E MULLAN AVE STE 200B
POST FALLS, ID 83854
Kootenai County (208) 262-2213
DR. MARK P BORSHEIM MD
Family Medicine
1551 E MULLAN AVE STE 200B
POST FALLS, ID 83854
Kootenai County (208) 262-2213
WHITNEY NICOLE HALL APRN-CNP
Nurse Practitioner (Family)
1551 E MULLAN AVE STE 200B
POST FALLS, ID 83854
Kootenai County (208) 262-2213
VANESSA M GRAVES MD
Family Medicine
1551 E MULLAN AVE STE 200B
POST FALLS, ID 83854
Kootenai County (208) 262-2213

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 Mudge's NPI number?

The NPI number for Jared Mudge is 1679398929. It was assigned to this individual provider in the NPPES registry on November 21, 2024.

Where is Jared Mudge located?

Jared Mudge practices at 1551 E Mullan Ave Ste 200B, Post Falls, ID 83854. The listed phone number is (208) 262-2213.

What is Jared Mudge's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jared Mudge enrolled in Medicare?

Yes. Jared Mudge is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jared Mudge accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jared Mudge as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jared Mudge affiliated with any hospitals?

According to CMS data, Jared Mudge is affiliated with Kootenai Health, Northwest Specialty Hospital and Benewah Community Hospital.

When was this NPI record last updated?

The NPPES record for Jared Mudge was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.