Mrs Jessie Jiyeon Dziduch, FNP-C in Arlington, WA

Mrs Jessie Jiyeon Dziduch, FNP-C is a medicare enrolled "Nurse Practitioner" in Arlington, Washington. She graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Optum Care Washington Pllc and her current practice location is 4011 172nd St Ne, Arlington, Washington. You can reach out to her office (for appointments etc.) via phone at (142) 525-9096.

Mrs Jessie Jiyeon Dziduch is licensed to practice in Washington (license number AP61340468) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265900591.

Contact Information

	Mrs Jessie Jiyeon Dziduch, FNP-C
	4011 172nd St Ne, Arlington, WA 98223-8482
	(142) 525-9096
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jessie Jiyeon Dziduch
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	4011 172nd St Ne, Arlington, Washington
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Jessie Jiyeon Dziduch graduated from nursing school in 2017

NPI Data:

NPI Number: 1265900591
Provider Enumeration Date: 11/05/2018
Last Update Date: 08/27/2025

Medicare PECOS Information:

PECOS PAC ID: 4082079728
Enrollment ID: I20231130002091

Medical Identifiers

Medical identifiers for Mrs Jessie Jiyeon Dziduch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265900591	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	AP61340468 (Washington)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Optum Care Washington Pllc	6406752153	597

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. Mrs Jessie Jiyeon Dziduch allows following entities to bill medicare on her behalf.

Entity Name	The Polyclinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174594634 PECOS PAC ID: 2163328196 Enrollment ID: O20031210000788

Entity Name	Optum Care Washington Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922

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. Mrs Jessie Jiyeon Dziduch 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 Address	Practice Location Address
Mrs Jessie Jiyeon Dziduch, FNP-C Po Box 5127, Everett, WA 98206-5127 Ph: (206) 860-5414	Mrs Jessie Jiyeon Dziduch, FNP-C 4011 172nd St Ne, Arlington, WA 98223-8482 Ph: (142) 525-9096

Reviews and Comments

Nurse Practitioner Nurses in Arlington, WA

Kitty Carmichael, ARNP, CDE Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7530 204th St Ne, Arlington, WA 98223 Phone: 360-435-7337 Fax: 360-435-3510
Ms. Ruth Elizabeth Wolff, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 875 Wesley St, Suite 210, Arlington, WA 98223 Phone: 360-403-8158 Fax: 360-403-7098
Kay L Moua, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16404 Smokey Point Blvd, Suite 102, Arlington, WA 98223 Phone: 425-318-7144 Fax: 425-748-7378
Mrs. Sharon K Clifner, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 21528 87th Ave Ne, Arlington, WA 98223 Phone: 360-433-0779
Anna Swanson Thomas, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 326 S Stillaguamish Ave, Arlington, WA 98223 Phone: 360-572-5400 Fax: 360-572-5401
Mrs. Holly Alison Eunice Vick, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20210 77th Ave Ne, Arlington, WA 98223 Phone: 360-862-6869
Dr. Cathy L Fliris, DNP, ARNP, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 540 N West Ave, Arlington, WA 98223 Phone: 360-435-8262 Fax: 360-474-1394

Mrs Jessie Jiyeon Dziduch, FNP-C - Medicare Nurse Practitioner in Arlington, WA