Active NPI
James Waldemar Jensen, M.D.
- Emergency Medicine Physician
- Silverton, OR
National Provider Identifier
1194926485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD23279
- Practice address
- 342 Fairview St
Silverton, OR 97381-1917 - Phone
- (503) 873-1690
- Fax
- (503) 873-1656
- NPI assigned
- May 31, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Emergency Response Attendant | 146D00000X | MD23279 | OR | |
| Pediatrics Physician | 208000000X | MD23279 | OR | |
| Emergency Medicine Physician | 207P00000X | MD23279 | OR | Primary |
Addresses
Primary practice location
342 Fairview St
Silverton, OR 97381-1917
Mailing address
342 Fairview St
Silverton, OR 97381-1917
Phone (503) 873-1690
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 287432 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.41 of 100
- Quality
- 88.83
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 82.4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD23279 | OR | MD | Personal Emergency Response Attendant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silverton Health | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients | |
| Silverton Health | Emergency Medicine | Current | Accepting new patients |
Locations
342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660
347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667
Organizations & group practices 3
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.
-
dba Legacy Silverton Medical Center
- General Acute Care Hospital
- Silverton, OR
- NPI 1669424354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1194926485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "342 FAIRVIEW ST",
"city": "SILVERTON",
"state": "OR",
"postal_code": "973811917",
"telephone_number": "503-873-1690",
"fax_number": "503-873-1656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "342 FAIRVIEW ST",
"city": "SILVERTON",
"state": "OR",
"postal_code": "973811917",
"telephone_number": "503-873-1690",
"fax_number": "503-873-1656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "JAMES",
"middle_name": "WALDEMAR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-31",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "146D00000X",
"taxonomy_group": "",
"desc": "Personal Emergency Response Attendant",
"state": "OR",
"license": "MD23279",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OR",
"license": "MD23279",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OR",
"license": "MD23279",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "287432",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Silverton, OR
- Jim Ilg, OTR/L, CDRS
- Bosten Ingram, LAC
- James P. Nealon, MD, PC (James P. Nealon, MD, FACS)
- Jennifer Poindexter ND LLC (Silver Creek Natural Medicine LLC)
- Jenniferann Counseling
- Jhso Corporation (Hi-School Pharmacy #1178 Long Term Care)
- Jhso Corporation (Hi-School Pharmacy #1178)
- Bradley McNeil Johnson
- Rae S. Johnson, PA-C
- Rodger A Johnson, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.