Individual provider Active NPI

Kara Joan Jeffas, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bend, OR
National Provider Identifier
1194190983
Registry record updated Dec 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
201509105NP-PP Issued in OR
Practice address
2564 NE Courtney Dr
Bend, OR 97701-7638
Phone
(541) 678-5277
NPI assigned
Dec 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 201509105NP-PP OR Primary

Addresses

Primary practice location

2564 NE Courtney Dr
Bend, OR 97701-7638

Mailing address

2564 NE Courtney Dr
Bend, OR 97701-7638

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
I20160511000446 OR Practitioner - Nurse Practitioner 2769771948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Counseling SolutionsGroup PAC ID 0446484885, 31 clinicians

Practice addresses (Care Compare)

550 W Sperry St
Heppner, OR 97836-2060
Phone (541) 676-9161

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Counseling Solutions Current Accepting new patients
Community Counseling Solutions CurrentSince Sep 22, 2022 Accepting new patients
Grant County Current Accepting new patients
Paulina Peak Family Healthcare Inc Past Accepting new patients
Tillamook Family Counseling Center PastSince Oct 11, 2017 Accepting new patients

Locations

595 NW 11th St
Hermiston, OR 97838
Phone (503) 567-1717

528 E Main St
Ste E
John Day, OR 97845
Phone (541) 575-0429

299 N Columbia St
Milton Freewater, OR 97862
Phone (541) 276-6207

331 SE 2nd St
Pendleton, OR 97801
Phone (541) 276-6207

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/tfcc/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1449273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449273600000",
    "number": "1194190983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2564 NE COURTNEY DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2564 NE COURTNEY DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017638",
            "telephone_number": "541-678-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFAS",
        "first_name": "KARA",
        "middle_name": "JOAN",
        "name_prefix": "Miss",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-05",
        "last_updated": "2015-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201509105NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.