JARED PETRICK
NPI 1932114618
Nurse Practitioner - Psychiatric/Mental Health in Coeur D Alene, ID

Q: What is Jared Petrick's NPI number?

The NPI number for Jared Petrick is 1932114618. It was assigned to this individual provider in the NPPES registry on July 30, 2006.

Q: What is Jared Petrick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jared Petrick was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 30, 2006PECOS Enrolled

2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814(208) 625-4870(208) 625-4878 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 1, 2024, Oct 6, 2020, Aug 23, 2019 (3 updates tracked since 2019).

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About Jared Petrick NPPES

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

JARED PETRICK (NPI 1932114618) is an individual psychiatric/mental health provider in Coeur D Alene, Idaho, licensed in Idaho (NP60612) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932114618

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameJARED PETRICK

Location Address2003 KOOTENAI HEALTH WAYCoeur D Alene, ID 83814

Mailing Address2003 Kootenai Health WayCoeur D Alene, ID 83814-6051 · (208) 625-5059 · Fax (208) 625-5731

Phone(208) 625-4870

Fax(208) 625-4878

Sole ProprietorNo

Enumeration DateJuly 30, 2006

Last NPPES UpdateMay 1, 20243 updates tracked since enumeration

NPPES CertifiedMay 1, 2024

✔ NPI 1932114618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in ID · NP60612✔ Licensed in UT · 357288-4408

2003 KOOTENAI HEALTH WAY, Coeur D Alene, ID 83814

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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 Petrick 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 83814 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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 20

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

CHRISTINA CRABTREE M.D.

Emergency Medicine