STEPHEN JOHN JADERHOLM (DPM) – Podiatric Assistant, NPI 1801412184

STEPHEN JOHN JADERHOLM (DPM) is a healthcare provider. based in Wenatchee, Washington. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. PO61426097 (WA). The NPI Number for STEPHEN JOHN JADERHOLM (DPM) is 1801412184

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN JOHN JADERHOLM (DPM)
NPI
1801412184
Phone
(509) 663-8711
Address
820 N CHELAN AVE
Enumeration Date
22 June 2020
Last Update Date
5 June 2023

Doctor Profile

Medical School Name
BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
5096638711
Graduation Year
2020 (6 years ago)
PAC ID
4486011046
Group Practice PAC ID
4880504596
Professional Enrollment ID
I20230613002016
Address ID
WA988012028WE820XXAVEX400

Contacts

FHIR Endpoint
https://epicoxy.et0764.epichosted.com/FHIRProxy/api/FHIR/Rpr4/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

360 PODIATRY in WA

Provider Addresses for STEPHEN JOHN JADERHOLM (DPM)

  • 820 N CHELAN AVE

    WENATCHEE, WA 988012028

    Phone: (509) 663-8711

    Type: Mailing

  • 3601 S 6TH AVE

    TUCSON, AZ 857230001

    Phone: (520) 792-1450

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $92.

Total Amount is formed as General ($92) + Research ($0) + Ownership ($0) = $92.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: TREACE MEDICAL CONCEPTS, INC. ($44).

Total Amount

$92

General + Research + Ownership

Payments

4

Total payment records

General Amount

$92

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-06-13

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
I20230613002016IPodiatryWATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99203New patient office or other outpatient visit, 30-44 minutes113113$0
11721Removal of fingernails or toenails, 6 or more nails7764$0
99213Established patient office or other outpatient visit, 20-29 minutes6655$0
11042Removal of skin and tissue, 20.0 sq cm or less4715$0
11055Removal of noncancer thickened skin growth, 1 growth2622$0
View full utilization report →

Insurance plans in this area (ZIP 98801)

Loading plans...

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: 4880504596View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineWA
Internal MedicineOR
-WA
Internal MedicineWA
O B S T E T R I C S/ G Y N E C O L O G YMT
-WA
Emergency MedicineWA
O B S T E T R I C S/ G Y N E C O L O G YWA
Diagnostic RadiologyOH
Physician AssistantWA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is STEPHEN JOHN JADERHOLM (DPM) identified in CMS data?
CMS-hosted NPPES data lists STEPHEN JOHN JADERHOLM (DPM) with NPI 1801412184.
Is STEPHEN JOHN JADERHOLM (DPM) listed as active for patients and plans?
The listing shows STEPHEN JOHN JADERHOLM (DPM) as active in the NPI system.
What is STEPHEN JOHN JADERHOLM (DPM) best known for clinically?
Directory data describes STEPHEN JOHN JADERHOLM (DPM) with Podiatric Assistant. Clinical services aligned with this taxonomy classification.
Where is STEPHEN JOHN JADERHOLM (DPM) based?
STEPHEN JOHN JADERHOLM (DPM) is tied to Wenatchee, Washington in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

Similar Providers

DR. NICOLE RENEE BYERLEY (D.P.M.)

Foot & Ankle Surgery Podiatrist
3601 S 6th Ave
NPI: 1386086866
3401 RUCKER AVE
NPI: 1265927388

ALEKSEY KOZLOV (DPM)

Podiatric Assistant
323 E 14TH ST APT 1B
NPI: 1851933253

MCKAY JARED DAVIS (DPM)

Student in an Organized Health Care Education/Training Program
341 W 100 N APT 1C
NPI: 1467072439

TREVOR GATENBY (DPM)

Student in an Organized Health Care Education/Training Program
1100 PACIFIC AVE STE 300
NPI: 1649879347

LIDIYA VEREMCHUK

Podiatric Assistant
616 N CHELAN AVE
NPI: 1265279673