Jessica Bruce Ahern, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP61575201 Issued in WA

Practice address

150 Dennis St SW
Tumwater, WA 98501-5486

Phone

(360) 754-6367

NPI assigned

Jul 9, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capital Medical Center Physicians LLCGroup PAC ID 3678639879, 59 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Capital Medical Center Hospital, Olympia, WA, CCN 500139
• Providence Centralia Hospital Hospital, Centralia, WA, CCN 500019

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Capital Medical Center Physicians LLC

  • Family Medicine Physician
  • Olympia, WA
  • NPI 1629214283

  WA

  Medicare reassignment Care Compare group NPD
• Capital Medical Center Physicians LLC

  • Internal Medicine Physician
  • Montesano, WA
  • NPI 1710744792
  NPD
• Capital Medical Center Physicians LLC

  • Family Medicine Physician
  • Lacey, WA
  • NPI 1649037623
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Multicare Health System

  • General Acute Care Hospital
  • Olympia, WA
  • NPI 1841258639

  Hospital

  Care Compare affiliation
• Providence Health & Services Washington

  • General Acute Care Hospital
  • Centralia, WA
  • NPI 1376624981

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1245077239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7608 KODIAK AVE NE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985164402",
            "telephone_number": "425-999-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 DENNIS ST SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985015486",
            "telephone_number": "360-754-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHERN",
        "first_name": "JESSICA",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61575201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jordan Agtarap
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• Ajaipal Dhanoa PLLC
• Albertsons LLC
• Ashleigh Aldrich, LMP
• Hayley Marie Aldrich, LMP

• All providers in Tumwater, WA
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.