Jake Daniel Dodge, DO
NPI 1114410784ActiveIndividual· Family Medicine· Nellis Afb, NV
Family Medicine (DO) with US Health Dept of Health and Human Services, practicing in Nellis Afb, Nevada. Enrolled in Medicare as practitioner - family practice. Lists Northern Rockies Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1114410784 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Jun 8, 2018 |
| Last updated in NPPES | Apr 17, 2024 |
| Certified by provider | Apr 17, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | SL1306 | NV |
| Family Medicine | 207Q00000X | DR.0069622 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (TX) |
|---|
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Family Practice |
Medical group
- US Health Dept of Health and Human ServicesBrowning, MT · 94 clinicians
Hospital affiliations
- Northern Rockies Medical CenterCut Bank, MT
- P H S Indian Hospital at Browning - BlackfeetBrowning, MT
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Family Medicine providers in Nellis Afb
- 1972009314
- 1194991158
- 1205499431
- 1740365451
- 1225419476
- 1083875546
- 1578557278
- 1326493750
- 1730829318
- 1770745804
- 1700374170
- 1992799514