Jared Clark Holman, ARNP - Medicare Nurse Practitioner in Spokane, WA

Jared Clark Holman, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Spokane, Washington. His current practice location is 1401 N Calispel St, Spokane, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 838-4651.

Jared Clark Holman is licensed to practice in Washington (license number AP60307279) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1922358886.

Contact Information

Jared Clark Holman, ARNP
1401 N Calispel St,
Spokane, WA 99201-2317
(509) 838-4651
Not Available

Map and Direction




Provider's Profile

Full NameJared Clark Holman
GenderMale
SpecialityNurse Practitioner - Family
Location1401 N Calispel St, Spokane, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922358886
  • Provider Enumeration Date: 09/18/2012
  • Last Update Date: 02/11/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9436303450
  • Enrollment ID: I20130129000086

Medical Identifiers

Medical identifiers for Jared Clark Holman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922358886NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP60307279 (Washington)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jared Clark Holman allows following entities to bill medicare on his behalf.
Entity NameMulticare Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497766638
PECOS PAC ID: 7719899897
Enrollment ID: O20031105000760
Entity NameDispatchhealth Washington Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013490507
PECOS PAC ID: 2062765423
Enrollment ID: O20181101000471

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jared Clark Holman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jared Clark Holman, ARNP
107 S Division St,
Spokane, WA 99202-1510

Ph: (509) 547-2204
Jared Clark Holman, ARNP
1401 N Calispel St,
Spokane, WA 99201-2317

Ph: (509) 838-4651

Reviews and Comments


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Phone: 509-838-4651    Fax: 509-363-2762

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.