NPIMap

Individual provider Active NPI

Jenny Brosi

  • Family Nurse Practitioner
  • Newport, OR
National Provider Identifier
1134717762
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10013536 Issued in OR
Practice address
36 SW Nye St
Newport, OR 97365-3821
Phone
(541) 265-0445
Fax
(844) 760-0526
NPI assigned
Jan 8, 2021
Last updated
Feb 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X 1021064 TX
Family Nurse Practitioner 363LF0000X 10013536 OR Primary
Family Nurse Practitioner 363LF0000X 1020164 TX

Addresses

Primary practice location

36 SW Nye St
Newport, OR 97365-3821

Mailing address

36 SW Nye St
Newport, OR 97365-3821
Phone (541) 265-0445

Other practice location 1

1105 SE Jetty Ave Ste C
Lincoln City, OR 97367-2604
Phone (541) 265-4947

Other practice location 2

180 Atwater St N
Monmouth, OR 97361-1801
Phone (503) 606-3287

Other practice location 3

525 N Bay St
Waldport, OR 97394-9010
Phone (541) 265-4947

Other identifiers 2

IdentifierTypeStateIssuer
2E7434MedicaidTX
500826823MedicaidOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220615002259 TX Practitioner - Nurse Practitioner 3971982315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of LincolnGroup PAC ID 3375439862, 28 clinicians

Practice addresses (Care Compare)

232 Wood St
Searhc Wrangell Med Ctr
Wrangell, AK 99929-2814
Phone (907) 874-7000

322 NE Eads St
Newport, OR 97365-2819
Phone (541) 265-0472

36 SW Nye St
Newport, OR 97365-3821
Phone (541) 265-4947

36 Swnye St
Newport, OR 97365-3821

525 N Bay St
Waldport, OR 97394-9010
Phone (541) 265-4947

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
86.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1021064TXMDCritical Care Medicine Nurse Practitioner
10013536ORMDFamily Nurse Practitioner
1020164TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Lincoln CurrentSince May 12, 2024 Accepting new patients
County of Lincoln CurrentSince May 12, 2024 Accepting new patients
County of Lincoln Past Accepting new patients
County of Lincoln Past Accepting new patients

Locations

1105 SE Jetty Ave
Ste C
Lincoln City, OR 97367
Phone (503) 965-6555

3780 SE Spy Glass Ridge Dr
Lincoln City, OR 97367
Phone (541) 265-0474

4422 NE Devils Lake Blvd
Ste 2
Lincoln City, OR 97367
Phone (541) 265-4196

322 NE Eads St
Newport, OR 97365
Phone (541) 265-0472

36 SW Nye St
Newport, OR 97365
Phone (541) 265-0445

1800 NE Sturdevant Rd
Toledo, OR 97391
Phone (541) 265-0445

525 N Bay St
Waldport, OR 97394
Phone (541) 265-4947

Interoperability endpoints

  • Direct secure messaging: jbrosi682571@direct.ochin.org

Organizations & group practices 5

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.

Hospital & facility affiliations 48

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

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1134717762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 SW NYE ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973653821",
            "telephone_number": "541-265-0445",
            "fax_number": "844-760-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 SW NYE ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973653821",
            "telephone_number": "541-265-0445",
            "fax_number": "844-760-0526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 SE Jetty Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Lincoln City",
            "state": "OR",
            "postal_code": "973672604",
            "country_code": "US",
            "telephone_number": "541-265-4947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 Atwater St N",
            "address_purpose": "LOCATION",
            "city": "Monmouth",
            "state": "OR",
            "postal_code": "973611801",
            "country_code": "US",
            "telephone_number": "503-606-3287",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 N Bay St",
            "address_purpose": "LOCATION",
            "city": "Waldport",
            "state": "OR",
            "postal_code": "973949010",
            "country_code": "US",
            "telephone_number": "541-265-4947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROSI",
        "first_name": "JENNY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-08",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "TX",
            "license": "1021064",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10013536",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1020164",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2E7434",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500826823",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, OR

Sources for this page

Verify at the official NPI Registry.