Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jessie Roberts Fudge, MD

Individual provider Family Medicine Physician · NPI 1386830610

Dr. Jessie Roberts Fudge, MD is a Sports Medicine in Everett, Washington. Graduated from University of Minnesota Medical School in 2007, 19 years ago. Practices with Kaiser Foundation Health Plan of Washington, a 1,519-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
19
Trained at
University of Minnesota Medical School
Licensed in
WA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2930 Maple St
Everett, WA 98201-3832
Phone: (425) 502-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence MD 60141711 (WA)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD 60141711 (WA)

Record details

NPI number1386830610
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 20, 2007
Last updated in NPPESApril 7, 2021
Certification dateApril 7, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySPORTS MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2007 (19 years in practice)
Group practice Kaiser Foundation Health Plan Of Washington — 1519 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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