Individual provider Active NPI

Jason Vang-Erickson, RN-BSN, PP-NP

  • Family Nurse Practitioner
  • Pleasant Hill, OR
National Provider Identifier
1144780255
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201905929 Issued in OR
Practice address
35859 Highway 58
Pleasant Hill, OR 97455-9651
Phone
(541) 767-5200
Fax
(541) 937-1370
NPI assigned
Mar 23, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201905929 OR Primary
Family Nurse Practitioner 363LF0000X F06191484 OR
Family Nurse Practitioner 363LF0000X 10290 MN

Addresses

Primary practice location

35859 Highway 58
Pleasant Hill, OR 97455-9651

Mailing address

2925 Chicago Avenue
Minneapolis, MN 55407-1321
Phone (612) 262-5000

Other practice location 1

4422 NE Devils Lake Blvd Ste 2
Lincoln City, OR 97367-5000
Phone (541) 265-4947

Other practice location 2

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

Other practice location 3

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

Other practice location 4

800 E 28th St
Ste H2100
Minneapolis, MN 55407-3723
Phone (612) 863-3900

Other identifiers 1

IdentifierTypeStateIssuer
500772427MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jvang49702@excellian.direct.allina.com Direct

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200214001508 OR Practitioner - Nurse Practitioner 7416383278 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peacehealth Medical Group Cottage GroveGroup PAC ID 9436060530, 11 clinicians

Practice addresses (Care Compare)

35859 Hwy 58
Pleasant Hill, OR 97455-9651
Phone (541) 767-5200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10290MNMDFamily Nurse Practitioner
201905929ORMDFamily Nurse Practitioner
F06191484ORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Current Accepting new patients
County of Lincoln CurrentSince Nov 1, 2022 Accepting new patients
Peacehealth Medical Group Cottage Grove CurrentSince Mar 1, 2025 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince May 13, 2024 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince May 13, 2024 Accepting new patients

Locations

1515 Village Dr
Cottage Grove, OR 97424
Phone (541) 767-5200

2865 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 833-6221

2821 Daggett Ave
Ste 200
Klamath Falls, OR 97601
Phone (541) 274-8400

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

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

1010 SW Coast Hwy
Ste 203
Newport, OR 97365
Phone (541) 265-0445

35859 Highway 58
Pleasant Hill, OR 97455
Phone (541) 767-5200

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

Interoperability endpoints

  • Direct secure messaging: jvangerickson681878@direct.ochin.org
  • Direct secure messaging: jvangerickson694371@direct.peacehealth.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 and National Provider Directory roles.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1553299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1144780255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 CHICAGO AVENUE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071321",
            "telephone_number": "612-262-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35859 HIGHWAY 58",
            "city": "PLEASANT HILL",
            "state": "OR",
            "postal_code": "974559651",
            "telephone_number": "541-767-5200",
            "fax_number": "541-937-1370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4422 NE Devils Lake Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Lincoln City",
            "state": "OR",
            "postal_code": "973675000",
            "country_code": "US",
            "telephone_number": "541-265-4947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36 SW Nye St",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "OR",
            "postal_code": "973653821",
            "country_code": "US",
            "telephone_number": "541-265-0445",
            "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"
        },
        {
            "address_1": "800 E 28th St",
            "address_2": "STE H2100",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554073723",
            "country_code": "US",
            "telephone_number": "612-863-3900",
            "fax_number": "612-775-3199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANG-ERICKSON",
        "first_name": "JASON",
        "credential": "RN-BSN, PP-NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201905929",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "F06191484",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "10290",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500772427",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jvang49702@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "800 E 28th St",
            "address_2": "STE H2100",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554073723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pleasant Hill, OR

Sources for this page

Verify at the official NPI Registry.