Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jess Daniel Dawdy

Individual provider Family Nurse Practitioner · NPI 1154095818

Jess Daniel Dawdy is a Nurse Practitioner in Santa Rosa, California. Qualified in 2021, 5 years ago. Practices with Anderson Valley Health Center, a 5-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
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Practice location Address checks out

3883 Airway Dr Ste 202
Santa Rosa, CA 95403-1671
Phone: (707) 521-7777
Fax: (707) 573-5426
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95018004 (CA)

Record details

NPI number1154095818
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 5, 2021
Last updated in NPPESApril 15, 2022
Certification dateApril 15, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Anderson Valley Health Center — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients15
Services billed 21 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Anderson Valley Health Center

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Santa Rosa