Individual provider Active NPI

Jessica Leigh Svingen, D.O.

  • Family Medicine Physician
  • Salem, OR
National Provider Identifier
1164786208
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO196478 Issued in OR
Practice address
2020 Capitol St NE
Salem, OR 97301-0698
Phone
(503) 399-2424
NPI assigned
Jul 3, 2012
Last updated
Jun 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO196478 OR Primary

Addresses

Primary practice location

2020 Capitol St NE
Salem, OR 97301-0698

Mailing address

2020 Capitol St NE
Salem, OR 97301-0698
Phone (503) 399-2424

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201116002966 MT Practitioner - Family Practice 9436386174 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ruby Valley HospitalGroup PAC ID 6406764018, shared by 4 NPIs, 18 clinicians

Practice addresses (Care Compare)

321 Madison St
Sheridan, MT 59749-0336

321 Madison St
Sheridan, MT 59749-9636
Phone 40684254531001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO196478ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ruby Valley Hospital CurrentSince Jan 1, 2023 Accepting new patients
Ruby Valley Hospital CurrentSince Jan 1, 2023 Accepting new patients
Madison Valley Hospital Inc CurrentSince Feb 2, 2021 Accepting new patients
Madison Valley Hospital Inc CurrentSince Feb 2, 2021 Accepting new patients
Ruby Valley Hospital Past Accepting new patients

Locations

305 N Main St
Ennis, MT 59729
Phone (406) 682-4223

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 2

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": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1164786208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 CAPITOL ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973010698",
            "telephone_number": "503-399-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 CAPITOL ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973010698",
            "telephone_number": "503-399-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SVINGEN",
        "first_name": "JESSICA",
        "middle_name": "LEIGH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-03",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO196478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.