Organization Active NPI

Hope Mental Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Coos Bay, OR
National Provider Identifier
1083321400
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
HOPE MENTAL WELLNESS
Practice address
999 N Front St Ste 107
Coos Bay, OR 97420-4909
Phone
(541) 236-2086
Fax
(541) 214-2897
NPI assigned
Nov 4, 2022
Last updated
May 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Authorized official

Name
Ms. Jennifer Dawn Hope, PMHNP-BC, FNP-BCNPI 1518133487
Title
Sole Proprietor/Practitioner
Phone
(541) 236-2086

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

999 N Front St Ste 107
Coos Bay, OR 97420-4909

Mailing address

PO Box 434
Coos Bay, OR 97420-0048
Phone (541) 236-2086

Other identifiers 1

IdentifierTypeStateIssuer
500794087MedicaidOR

Other names 1

  • Hope Mental Wellness LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221122001057 OR Part B Supplier - Clinic/Group Practice 0547638678 Receives reassigned benefits from 1 practitioner
Practice locations: Coos Bay, OR

National Provider Directory

National Provider Directory

Locations

137 Hall Ave
Coos Bay, OR 97420
Phone (541) 236-2086

632 Anderson Ave
Ste B
Coos Bay, OR 97420

687 Newmark Ave
Coos Bay, OR 97420
Phone (541) 236-2086

999 N Front St
Ste 107
Coos Bay, OR 97420
Phone (541) 236-2086

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1083321400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 434",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974200048",
            "telephone_number": "541-236-2086",
            "fax_number": "541-214-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N FRONT ST STE 107",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974204909",
            "telephone_number": "541-236-2086",
            "fax_number": "541-214-2897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE MENTAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-04",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "HOPE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "SOLE PROPRIETOR/PRACTITIONER",
        "authorized_official_telephone_number": "541-236-2086",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP-BC, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500794087",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope Mental Wellness LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Hope Mental Wellness LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Coos Bay, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.