Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jarad Reddekopp, ACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1861957862

Jarad Reddekopp, ACNP-BC is a Nurse Practitioner in Sacramento, California. Qualified in 2018, 8 years ago. Practices with Pulmonary Medicine Associates Medical Group Inc, a 92-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
8
Licensed in
CO
In the registry since
2019
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Practice location Address checks out

1300 Ethan Way Ste 600
Sacramento, CA 95825-2296
Phone: (916) 482-7623
Fax: (916) 488-7432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 0994404 (CO)

Record details

NPI number1861957862
Entity typeIndividual (Type 1)
GenderMale
Credentials ACNP-BC
Sole proprietorNo
NPI enumeratedFebruary 4, 2019
Last updated in NPPESFebruary 4, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Pulmonary Medicine Associates Medical Group Inc. — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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