NPIMap

Individual provider Active NPI

Jie Chen, M.D.

  • Psychiatry Physician
  • Eugene, OR
National Provider Identifier
1053693937
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD222787 Issued in OR
Practice address
770 E 11TH Ave
Eugene, OR 97401-3746
Phone
(458) 205-7000
Fax
(458) 205-7022
NPI assigned
Sep 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 10252A WY
Psychiatry Physician 2084P0800X 26409 NV
Psychiatry Physician 2084P0800X MD222787 OR Primary

Addresses

Primary practice location

770 E 11TH Ave
Eugene, OR 97401-3746

Mailing address

1600 Medical Pkwy
Carson City, NV 89703-4625
Phone (775) 445-8000

Other practice location 1

1600 Medical Pkwy
Carson City, NV 89703-4625
Phone (775) 445-8000

Other practice location 2

3333 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-2185

Other practice location 3

2600 E 18th St
Cheyenne, WY 82001-5511
Phone (307) 633-7370

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jchen29053@direct.crmcwy.org Direct Memorial Hospital of Laramie County
Direct Messaging Address jchen29053@direct.crmcwy.org Health Information Exchange (HIE) Memorial Hospital of Laramie County

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, NV, CO3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150915002293 WY Practitioner - Psychiatry 0143537787 Reassigns benefits to 1 organization
I20241029000482 NV Practitioner - Psychiatry 0143537787 Reassigns benefits to 2 organizations
I20260316000690 CO Practitioner - Psychiatry 0143537787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Washington School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

1024 S Lemay Ave
Uchmg Palliative Care
Fort Collins, CO 80524-3929
Phone (970) 495-8369

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.01 of 100Reported as apm
Quality
84.78
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Carson Tahoe Regional Healthcare CurrentSince Oct 7, 2024 Accepting new patients
Carson Tahoe Physician Clinics CurrentSince Oct 7, 2024 Accepting new patients
CTH Physicians Clinic Psychiatry Current Accepting new patients
Central Wyoming Counseling Center CurrentSince Jun 15, 2016 Accepting new patients
Central Wyoming Counseling Center Current Accepting new patients
Carson Tahoe Regional Healthcare CurrentSince Oct 7, 2024 Accepting new patients
Poudre Valley Health Care Inc. Past Accepting new patients

Locations

2874 N Carson St
Ste 200
Carson City, NV 89706
Phone (775) 283-3220

1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149

775 Fleischmann Way
Fl 2
Carson City, NV 89703
Phone (775) 445-5632

1430 Wilkins Cir
Casper, WY 82601
Phone (307) 237-9583

Interoperability endpoints

  • Direct secure messaging: jchen685645@direct.peacehealth.org
  • Direct secure messaging: jchen29053@direct.crmcwy.org

Organizations & group practices 8

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1053693937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL PKWY",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034625",
            "telephone_number": "775-445-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 E 11TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013746",
            "telephone_number": "458-205-7000",
            "fax_number": "458-205-7022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Medical Pkwy",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "NV",
            "postal_code": "897034625",
            "country_code": "US",
            "telephone_number": "775-445-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3333 Riverbend Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974778800",
            "country_code": "US",
            "telephone_number": "541-222-2185",
            "fax_number": "541-222-2194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 E 18th St",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820015511",
            "country_code": "US",
            "telephone_number": "307-633-7370",
            "fax_number": "307-633-7202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WY",
            "license": "10252A",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "26409",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD222787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jchen29053@direct.crmcwy.org",
            "affiliation": "Y",
            "endpointDescription": "CRMC Direct Address",
            "affiliationName": "Memorial Hospital of Laramie County",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2600 E 18th St",
            "city": "Cheyenne",
            "state": "WY",
            "country_code": "US",
            "postal_code": "820015511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jchen29053@direct.crmcwy.org",
            "affiliation": "Y",
            "endpointDescription": "CRMC Direct Address",
            "affiliationName": "Memorial Hospital of Laramie County",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2600 E 18th St",
            "city": "Cheyenne",
            "state": "WY",
            "country_code": "US",
            "postal_code": "820015511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.