Question 1

What type of a medical provider is Jared Petrick?

Accepted Answer

Jared Petrick is a Nurse Practitioner (Psych/Mental Health).

Question 2

Where does Jared Petrick practice medicine?

Accepted Answer

Jared Petrick has the following practice address:2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814

Question 3

Does this provider have a license number?

Accepted Answer

Jared Petrick has 2 license numbers, including: License Number 357288-4408 issued in Utah.

Question 4

Does Jared Petrick accept Medicare?

Accepted Answer

We do not know if this provider accepts the Medicare-approved amount.

Question 5

Does Jared Petrick have any board certifications?

Accepted Answer

The provider does not have any board certifications.

Question 6

Is Jared Petrick a member of any Medical Groups?

Accepted Answer

Jared Petrick is not affiliated with any medical groups.

Question 7

Does Jared Petrick participate in PECOS?

Accepted Answer

Yes, Jared Petrick participates in PECOS.

Question 8

What phone number can I call to contact Jared Petrick?

Accepted Answer

You can call the following number: (208)-625-4870

Question 9

Are there any exclusions against this provider?

Accepted Answer

We have not detected any Exclusions tied directly to Jared Petrick.

Question 10

Is Jared Petrick  affiliated with any hospitals?

Accepted Answer

The provider is not affiliated with any hospitals.

Question 11

When was this information last updated?

Accepted Answer

The CMS-based NPPES information was updated approximately 1 year ago (5/1/2024).

Taxonomy	State	Primary?
Nurse Practitioner (Psych/Mental Health) - Taxonomy Code 363LP0808X	ID	Y
Nurse Practitioner (Psych/Mental Health) - Taxonomy Code 363LP0808X	UT	N

Participates in PECOS:	YES
PECOS Individual Enrollment ID:
PECOS Individual PAC ID:
Eligible to order/refer Part B Clinical Laboratory and Imaging	Yes
Eligible to order/refer Durable Medical Equipment (DME)	Yes
Eligible to order/refer Home Health Agency (HHA)	Yes
Eligible to order/refer Power Mobility Devices (PMD)	Yes

Jared Petrick

Overview