DR. JESSICA BRUCE AHERN (ARNP) – Nurse Practitioner, NPI 1245077239

DR. JESSICA BRUCE AHERN (ARNP) is a healthcare provider. based in Lacey, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. AP61575201 (WA). The NPI Number for DR. JESSICA BRUCE AHERN (ARNP) is 1245077239

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
DR. JESSICA BRUCE AHERN (ARNP)
NPI
1245077239
Phone
(425) 999-1755
Address
7608 KODIAK AVE NE
Enumeration Date
9 July 2024
Last Update Date
9 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3604597282
Graduation Year
2024 (2 years ago)
PAC ID
2567901754
Group Practice PAC ID
3678639879
Professional Enrollment ID
I20240903000417
Address ID
WA985028701OL3920XSWXX504
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

6,261 NURSE PRACTITIONER in WA

Provider Addresses for DR. JESSICA BRUCE AHERN (ARNP)

  • 7608 KODIAK AVE NE

    LACEY, WA 985164402

    Phone: (425) 999-1755

    Type: Mailing

  • 150 DENNIS ST SW

    TUMWATER, WA 985015486

    Phone: (360) 754-6367

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240903000417INurse PractitionerWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98516)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678639879View full group profile
NameSpecialtyState
-IN
Family PracticeIL
General PracticeWA
-WA
Nurse PractitionerWA
Nurse PractitionerMD
Family PracticeOH
Family Practice, Geriatric MedicineOR
-WA
Family PracticeWA

Reviews

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Frequently asked questions

What unique ID ties claims to DR. JESSICA BRUCE AHERN (ARNP)?
NPI 1245077239 is assigned to DR. JESSICA BRUCE AHERN (ARNP) under the national enumeration system.
Is DR. JESSICA BRUCE AHERN (ARNP)'s NPI currently valid?
The extract we use shows DR. JESSICA BRUCE AHERN (ARNP) as active.
What does DR. JESSICA BRUCE AHERN (ARNP) treat or focus on?
Patients typically see DR. JESSICA BRUCE AHERN (ARNP) under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place DR. JESSICA BRUCE AHERN (ARNP)?
The snapshot lists Lacey, Washington for DR. JESSICA BRUCE AHERN (ARNP); download NPPES for the complete set.
Is DR. JESSICA BRUCE AHERN (ARNP) a real provider?
This page reflects official NPPES data for NPI 1245077239. Always confirm identity and privileges with the practice and licensing boards.

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