Individual provider Active NPI

Jessica Walsh, PMHNP, CNM

  • Advanced Practice Midwife
  • Corvallis, OR
National Provider Identifier
1063803625
Registry record updated Sep 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
257 SW Madison Ave Ste 209
Corvallis, OR 97333-4757
Phone
(971) 368-1045
Fax
(971) 233-6398
NPI assigned
Feb 18, 2015
Last updated
Sep 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2025032440 OR
Advanced Practice Midwife 367A00000X Primary

Addresses

Primary practice location

257 SW Madison Ave Ste 209
Corvallis, OR 97333-4757

Mailing address

257 SW Madison Ave Ste 209
Corvallis, OR 97333-4757
Phone (971) 368-1045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181003003375 OR Practitioner - Certified Nurse Midwife (CNM) 3870896632 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salem HealthGroup PAC ID 8628986668, 470 clinicians

Practice addresses (Care Compare)

665 Winter St SE
Salem, OR 97301-3934
Phone (503) 561-5200

875 Oak St SE
Salem, OR 97301-3975
Phone (503) 561-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science

State licenses

LicenseStateTypeSpecialty
2025032440ORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Charles Health System, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Salem Health CurrentSince Sep 10, 2018 Accepting new patients
Salem Health CurrentSince Sep 10, 2018 Accepting new patients
St. Charles Health System, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Alaska Womens Health PC PastSince Apr 17, 2017 Accepting new patients
Southcentral Foundation Past Accepting new patients
Southcentral Foundation Past Accepting new patients
Two River Psychiatry Psychiatric/Mental Health PastSince Jun 11, 2023 Accepting new patients

Locations

29358 Network Pl
Chicago, IL 60673

2500 NE Neff Rd
Bend, OR 97701
Phone (541) 388-4333

1253 NW Canal Blvd
Redmond, OR 97756
Phone (541) 548-8131

211 NW Larch Ave
Redmond, OR 97756
Phone (541) 548-2164

340 NW 5th St
Redmond, OR 97756
Phone (541) 504-2218

340 NW 5th St
Ste 101
Redmond, OR 97756
Phone (541) 526-0635

1049 Edgewater St NW
#150
Salem, OR 97304
Phone (503) 814-3343

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

875 Oak St SE
Salem, OR 97301
Phone (503) 561-5719

875 Oak St SE
Ste 5030
Salem, OR 97301
Phone (503) 371-4044

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10958/brand/1/csg/1/fhir/r4

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788652800000",
    "number": "1063803625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 SW MADISON AVE STE 209",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334757",
            "telephone_number": "971-368-1045",
            "fax_number": "971-233-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 SW MADISON AVE STE 209",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334757",
            "telephone_number": "971-368-1045",
            "fax_number": "971-233-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "JESSICA",
        "credential": "PMHNP, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-18",
        "last_updated": "2026-09-06",
        "certification_date": "2026-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "2025032440",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.