NPIMap

Janett K Phelps, DO

Individual provider Active NPI Family Medicine Physician · Clackamas, OR

NPI 1164650255 · NPPES record last updated Feb 25, 2013

Key facts

NPI
1164650255
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
DO158334 (OR)
Practice address
9775 SE Sunnyside Rd
Suite 200
Clackamas, OR 97015-5739
Phone
(503) 794-3830
Fax
(503) 794-3850
NPI assigned
Jun 26, 2009
Sex
Female
Sole proprietor
Yes

Organizations & group practices 15

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 7

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

Medicare Care Compare profile

Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic Texas (1,540 clinicians)

Practice addresses (Care Compare)

502 E Goode St
Quitman, TX 75783-2539
Phone (903) 763-5402

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

Hospital & facility affiliations

  • Elara Caring Home health agency · Mount Vernon, TX · CCN 457507
  • Ut Health East Texas Home Health Services Home health agency · Pittsburg, TX · CCN 677037
  • Christus Homecare Home health agency · Tyler, TX · CCN 743197
  • Vitalcaring Group Home health agency · Sulphur Springs, TX · CCN 679076
  • Christus Mother Frances Hospital Sulphur Springs Hospital · Sulphur Springs, TX · CCN 450236
  • Christus Mother Frances Hospital Hospital · Tyler, TX · CCN 450102
  • Christus Mother Frances Hospital- Winnsboro Hospital · Winnsboro, TX · CCN 451381

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20180817000707 TX Practitioner - Family Practice 5890932883 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO158334ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas Current
since Dec 6, 2019		 Accepting new patients
Mother Frances Hospital Regional Health Care Center Current
since Mar 1, 2020		 Accepting new patients
Mother Frances Hospital Jacksonville Current
since Mar 1, 2020		 Accepting new patients
Christus Trinity Clinic Texas Family Medicine Current
since Dec 6, 2019		 Accepting new patients
Mother Frances Hospital Winnsboro Past Accepting new patients
Clackamas County Past Accepting new patients
Christus Trinity Clinic Texas Past Accepting new patients
County of Clackamas Office of County Auditor Past Accepting new patients
Legacy Emanuel Hospital & Health Center Past Accepting new patients

Locations

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

502 E Goode St
Ste 1E
Quitman, TX 75783
Phone (903) 763-5402

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

719 W Coke Rd
Ste 4
Winnsboro, TX 75494
Phone (903) 342-3760

Interoperability endpoints

  • Direct secure messaging: jphelps162649@christushealth.direct-ci.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO158334 OR Yes

Addresses

Primary practice location

9775 SE Sunnyside Rd
Suite 200
Clackamas, OR 97015-5739

Mailing address

2051 Kaen Rd
Suite 367
Oregon City, OR 97045-4035
Phone (503) 742-5300

Other providers in Clackamas, OR

All providers in Clackamas, OR · Family Medicine Physician in Oregon

Sources for this page

Verify at the official NPI Registry.