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ADREIA JENICE JESSOP ARNP, CNM, IBCLC
NPI 1972021087
Nurse Practitioner - Women's Health in Kelso, WA

Active since September 08, 2017PECOS Enrolled
300 OAK ST, KELSO, WA 98626(360) 353-5511(360) 353-5502 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 25, 2022, Aug 27, 2021, Feb 21, 2020 and 2 more (5 updates tracked since 2018).

About Adreia Jenice Jessop Arnp, Cnm, Ibclc NPPES

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

ADREIA JENICE JESSOP ARNP, CNM, IBCLC (NPI 1972021087) is an individual women's health provider in Kelso, Washington, licensed in Washington (AP60799447) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Kelso, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1972021087
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameADREIA JENICE JESSOPCredential: ARNP, CNM, IBCLC
Location Address300 OAK STKelso, WA 98626
Mailing Address1057 12th AveLongview, WA 98632-2509 · (360) 353-5511 · Fax (360) 353-5502
Phone(360) 353-5511
Fax(360) 353-5502
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 8, 2017
Last NPPES UpdateFebruary 14, 20245 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2024
✔ NPI 1972021087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in WA · AP60799447
Also ListedRegistered Nurse · Lactation ConsultantTaxonomy 163WL0100X · License RN00157790 (WA)
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X · License AP60799447 (WA)
300 OAK ST, Kelso, WA 98626
Open in Google Maps ↗

Secondary Practice Location 1

Location 1211 Cunningham RdKelso, WA 98626-9611 · Phone (360) 749-0010

Other Identifiers 3

OtherAP60799447WA · Washington State Department Of Health
Medicaid2105815WA
OtherRN00157790WA · Washington State Department Of Health

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adreia Jenice Jessop Arnp, Cnm, Ibclc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183977028
PECOS Enrollment IDI20181023003191
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.

Medicare Billing Reassignment

Medicare enrollment records show Adreia Jessop reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cowlitz Family Health Center
Same address
Federally Qualified Health Center (FQHC)
300 OAK ST STE B
Kelso, WA 98626
  • Reassigned Medicare billing, Washington enrollment
  • 18 clinicians in this Medicare group
NPI 1366790008 (360) 353-5511

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98626 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.

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 Adreia Jessop's NPI number?

The NPI number for Adreia Jessop is 1972021087. It was assigned to this individual provider in the NPPES registry on September 8, 2017.

Where is Adreia Jessop located?

Adreia Jessop practices at 300 Oak St, Kelso, WA 98626. The listed phone number is (360) 353-5511.

What is Adreia Jessop's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Adreia Jessop enrolled in Medicare?

Yes. Adreia Jessop is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Adreia Jessop's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adreia Jessop reassigns Medicare benefits to Cowlitz Family Health Center (Kelso, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Adreia Jessop's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adreia Jessop accept?

Health plans from Ambetter Health, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Adreia Jessop 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.

When was this NPI record last updated?

The NPPES record for Adreia Jessop was last updated on February 14, 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.