Individual provider Active NPI

Jannell Darlene Werner, PMHNP

  • Psychiatric/Mental Health Registered Nurse
  • Dallas, OR
National Provider Identifier
1194164830
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
201350036NP Issued in OR
Practice address
182 SW Academy St
Dallas, OR 97338-1996
Phone
(503) 623-9289
Fax
(503) 831-1726
NPI assigned
Jun 16, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 201350036NP OR
Psychiatric/Mental Health Registered Nurse 163WP0808X 201350036NP OR Primary

Addresses

Primary practice location

182 SW Academy St
Dallas, OR 97338-1996

Mailing address

5475 NW 137TH Ave
Portland, OR 97229-2307
Phone (503) 869-0796

Other practice location 1

627 NE Evans St
McMinnville, OR 97128-3923
Phone (503) 434-7523

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
I20131212000778 OR Practitioner - Nurse Practitioner 6901033224 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Oregon Health Sciences University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Yamhill CountyGroup PAC ID 3274421169, 19 clinicians

Practice addresses (Care Compare)

627 N Evans St
McMinnville, OR 97128-3923
Phone (503) 434-7525

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201350036NPORMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Yamhill County Current Accepting new patients
County of Polk CurrentSince Mar 1, 2024 Accepting new patients
County of Polk Psychiatric/Mental Health Current Accepting new patients
Yamhill County CurrentSince Aug 16, 2013 Accepting new patients

Locations

182 SW Academy St
Ste 333
Dallas, OR 97338
Phone (503) 623-9289

627 NE Evans St
McMinnville, OR 97128
Phone (503) 434-7527

1520 Plaza St NW
Ste 150
Salem, OR 97304
Phone (503) 585-3012

Organizations & group practices 4

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 1

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": "1371340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1194164830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5475 NW 137TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972292307",
            "telephone_number": "503-869-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 SW ACADEMY ST",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973381996",
            "telephone_number": "503-623-9289",
            "fax_number": "503-831-1726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "627 NE Evans St",
            "address_purpose": "LOCATION",
            "city": "McMinnville",
            "state": "OR",
            "postal_code": "971283923",
            "country_code": "US",
            "telephone_number": "503-434-7523",
            "fax_number": "503-434-9846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WERNER",
        "first_name": "JANNELL",
        "middle_name": "DARLENE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-16",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201350036NP",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201350036NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, OR

Sources for this page

Verify at the official NPI Registry.