Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Jerome Edge , CPC

Peer Specialist • Bellingham, WA

Active NPI 1093430902 Individual Practitioner Male Practitioner
Practice location in NPPES

4120 Meridian St Ste 220
Bellingham, WA 982265575

Call 3609223030 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4120 Meridian St Ste 220

Bellingham, WA 982265575

Telephone 3609223030
Organization at the Same NPPES Address or Phone
Lifeline Connections Facility NPI 1144703836

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bellingham and Washington

60 active clinicians are listed under Peer Specialist with a practice address in Bellingham, WA (2,632 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bellingham

0% of these 60 clinicians have the CMS telehealth indicator.

0% of these 60 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-10-04
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

License # reported to NPPES WA CG61267837

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Andrew Mcnamara , PA-C

Physician Assistant

NPI 1235745027

Physician Assistant (Certified)

Rita Palisaityte , ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1407929383

Advanced Registered Nurse Practitioner

Melanie Throckmorton , ARNP

Nurse Practitioner - Adult Health

NPI 1669434031

Advanced Registered Nurse Practitioner

Career & Practice History

NPI enumerated October 04, 2022.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from October 2022 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1093430902
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2022
Last Update: October 04, 2022
Sole Proprietor: Yes

Mailing Address

301 Hulbush Ln Apt 14

Burlington, WA 982331036

Phone: 3609496489

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.