Jessica Dawn Yacques, APRN,FNP, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

10043053 Issued in OR

Practice address

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

Phone

(614) 420-5093

Fax

(971) 233-6398

NPI assigned

Jun 16, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jessica Dawn Blair Former name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

82.93 of 100Reported as group

Quality

64.42

Promoting interoperability

99

Improvement activities

40

Cost

73.2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Adena Medical Group LLC

  • Family Medicine Physician
  • Chillicothe, OH
  • NPI 1235468083
  Medicare reassignment
• Two River Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Corvallis, OR
  • NPI 1770274979
  NPD

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1063826212",
    "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 MADISON AVE SW SUITE 209",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334757",
            "telephone_number": "614-420-5093",
            "fax_number": "971-233-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YACQUES",
        "first_name": "JESSICA",
        "middle_name": "DAWN",
        "credential": "APRN,FNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10043053",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10043053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BLAIR",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amity M Wrolstad, DMD
• Veronica Wu, DO
• Adrian Wulff, LPC
• Nicole Dianne Wydra, PA-C
• Alexandre B Yacques, DO
• Pat Allen Yaeger
• Charlene R Yager
• Heidi Jean Yaich, RN
• Shyama Yallapragada, DO
• Russell S Yamada, DMD

• Psychiatric/Mental Health Nurse Practitioner in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.

Verify at the official NPI Registry.