Active NPI
Jalina Mueller
- General Practice Physician
- Lebanon, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 0070179
- Practice address
- 200 Mullins Dr
Lebanon, OR 97355-3983 - Phone
- (541) 908-4101
- NPI assigned
- May 10, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Physician | 208D00000X | 0070179 | CO | Primary |
Addresses
Primary practice location
200 Mullins Dr
Lebanon, OR 97355-3983
Mailing address
200 Mullins Dr
Lebanon, OR 97355-3983
Phone (541) 908-4101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Western Un of HLTH Sciences, Col of Podiatric Med, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10200 Forest Green Blvd
Suite 112
Louisville, KY 40223-5167
Phone (954) 399-4673
409 Park Ave
Adamsville, TN 38310-2461
Phone (731) 632-3301
600 Shawanee Rd
Harrogate, TN 37752-8305
Phone (423) 869-5376
902 Buchanan Rd
New Tazewell, TN 37825-7410
Phone (423) 626-8215
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1156 |
| Removal of skin lesions | 21 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0070179 | CO | MD | General Practice Physician |
| 6387 | TN | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vohra Post Acute Care Physicians of the East, PA | Current | Accepting new patients | |
| Wound Management Specialists, LLC | Current | Accepting new patients |
Locations
3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951
1680 Campbell Ln
Ste 109
Bowling Green, KY 42104
Phone (629) 240-5023
10200 Forest Green Blvd
Ste 112
Louisville, KY 40223
Phone (502) 214-5343
434 Katherine Dr
Flowood, MS 39232
Phone (769) 216-3346
778 Liberty Rd
Flowood, MS 39232
Phone (601) 914-9620
409 Park Ave
Adamsville, TN 38310
Phone (731) 541-4923
725 Cool Springs Blvd
Ste 600
Franklin, TN 37067
Phone (888) 250-6394
6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Miramar, FL
- NPI 1063848968
KY, TN
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691107200000",
"number": "1013363928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MULLINS DR",
"city": "LEBANON",
"state": "OR",
"postal_code": "973553983",
"telephone_number": "541-908-4101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MULLINS DR",
"city": "LEBANON",
"state": "OR",
"postal_code": "973553983",
"telephone_number": "541-908-4101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUELLER",
"first_name": "JALINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-10",
"last_updated": "2023-08-04",
"certification_date": "2023-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CO",
"license": "0070179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.