Janessa S Sickler, D.O.
Individual provider Active NPI Family Medicine Physician · John Day, OR
NPI 1124360664 · NPPES record last updated Jul 19, 2021
Key facts
- NPI
- 1124360664
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- DO171718 (OR)
- Practice address
- 180 Ford Rd
John Day, OR 97845-2009 - Phone
- (541) 575-0404
- Fax
- (541) 575-1124
- NPI assigned
- Mar 22, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.64 of 100
- Quality
- 86.84
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.29
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OR, MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151201000616 | OR | Practitioner - Family Practice | 8628378411 | Reassigns benefits to 1 organization |
| I20240605000094 | MN | Practitioner - Emergency Medicine |
8628378411 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Region Healthcare Corporation | Current |
Accepting new patients | |
| Lake Region Healthcare Corporation | Current |
Accepting new patients | |
| Blue Mountain Hospital District | Current |
Accepting new patients | |
| Lake Region Healthcare Corporation | Current |
Accepting new patients | |
| Lake Region Healthcare Corporation | Current |
Accepting new patients | |
| Blue Mountain Hospital District | Family Medicine | Current |
Accepting new patients |
Locations
1411 Highway 79 E
Elbow Lake, MN 56531
Phone (218) 685-7300
649 State St NW
Evansville, MN 56326
Phone (218) 948-2040
712 S Cascade St
Fergus Falls, MN 56537
170 Ford Rd
John Day, OR 97845
Phone (541) 575-1311
180 Ford Rd
John Day, OR 97845
Phone (541) 575-0404
Interoperability endpoints
- janessa-s-sickler@swcc-oregon.e-mdsdirect.com
- https://fhir-myrecord.cerner.com/r4/4fb2ef4c-fc22-4675-b38f-5641155a5454/
- jsickler@direct.bmh.securechart.com
- https://fhir-myrecord.cerner.com/r4/e35355ac-dfca-48b9-9dd9-0b7c408c2a66/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | DO171718 | OR | Yes |
Addresses
Primary practice location
180 Ford Rd
John Day, OR 97845-2009
Mailing address
180 Ford Rd
John Day, OR 97845-2009
Phone (541) 575-0404
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500659933 | Medicaid | OR |
Other names
- Janessa S Pilling
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | janessa-s-sickler@swcc-oregon.e-mdsdirect.com | Direct |
Other providers in John Day, OR
- Rays of Hope Counseling LLC
- Sylvia Michelle Ross
- Sarah Russ
- Russel Nichols, MD, PC
- Karla Salisbury-Colson
- Tilli Obrina Slusarenko
- Rosalyn Smarr
- Jennifer Smoot
- Linda S Sprouffske
- Dale Raymond Stennett
All providers in John Day, OR · Family Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.