Individual provider Active NPI

Jaimee Jo Bierhaus, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Klamath Falls, OR
National Provider Identifier
1174825517
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10007642 Issued in OR
Practice address
2301 Mountain View Blvd Ste a
Klamath Falls, OR 97601-1137
Phone
(541) 274-8640
NPI assigned
Nov 17, 2010
Reactivated
May 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 201043153RN OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10007642 OR Primary

Addresses

Primary practice location

2301 Mountain View Blvd Ste a
Klamath Falls, OR 97601-1137

Mailing address

PO Box 2120
Portland, OR 97208-2120
Phone (541) 274-8640

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
I20230626002660 OR Practitioner - Nurse Practitioner 8224496047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sky Lakes Medical Center IncGroup PAC ID 1052204096, 196 clinicians

Practice addresses (Care Compare)

2821 Daggett Ave
Suite 100
Klamath Falls, OR 97601-1106
Phone (541) 274-6733

2865 Daggett Ave
Klamath Falls, OR 97601-1106
Phone (541) 274-6221

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201043153RNORMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sky Lakes Medical Center Inc CurrentSince Jul 5, 2023 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Jul 5, 2023 Accepting new patients

Locations

2301 Mountain View Blvd
Klamath Falls, OR 97601
Phone (541) 850-7697

2301 Mountain View Blvd
Ste A
Klamath Falls, OR 97601
Phone (541) 274-8640

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

Organizations & group practices 2

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 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": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1174825517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2120",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972082120",
            "telephone_number": "541-274-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 MOUNTAIN VIEW BLVD STE A",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011137",
            "telephone_number": "541-274-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIERHAUS",
        "first_name": "JAIMEE",
        "middle_name": "JO",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-17",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "deactivation_date": "2023-04-27",
        "reactivation_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201043153RN",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10007642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

Verify at the official NPI Registry.