Individual provider Active NPI

Jonell Blase, NP

  • Occupational Health Nurse Practitioner
  • Eugene, OR
National Provider Identifier
1245391192
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health Nurse PractitionerTaxonomy code 363LX0106X
License
84052765 Issued in OR
Practice address
2650 Suzanne Way Ste 200
Eugene, OR 97408-7619
Phone
(541) 228-3000
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Nurse Practitioner 363LX0106X 84052765 OR Primary

Addresses

Primary practice location

2650 Suzanne Way Ste 200
Eugene, OR 97408-7619

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other identifiers 2

IdentifierTypeStateIssuer
ANP 0052OtherOKWORKMAN'S COMP
276733OtherOROMAP

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
I20070308000688 OR Practitioner - Nurse Practitioner 7113020363 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
84052765ORMDOccupational Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Albany General Hospital CurrentSince Jul 6, 2019 Accepting new patients
Albany General Hospital Current Accepting new patients
Albany General Hospital CurrentSince Jul 6, 2019 Accepting new patients
Samaritan Pacific Health Services, Inc. Current Accepting new patients
Firstcare Medical Foundation PastSince Sep 1, 2004 Accepting new patients
Eugene Emergency Physicians PC Past Accepting new patients
Good Samaritan Hospital Corvallis Past Accepting new patients

Locations

705 Elm St SW
Ste 200
Albany, OR 97321
Phone (541) 812-4850

1100 7th Ave SW
Albany, OR 97321
Phone (541) 812-4970

777 NW 9th St
Ste 102
Corvallis, OR 97330
Phone (541) 768-6769

930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244

Interoperability endpoints

  • Direct secure messaging: jblaseagency231670@samhealth.direct-ci.com

Organizations & group practices 7

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1245391192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 SUZANNE WAY STE 200",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974087619",
            "telephone_number": "541-228-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASE",
        "first_name": "JONELL",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "OR",
            "license": "84052765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKMAN'S COMP",
            "identifier": "ANP 0052",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMAP",
            "identifier": "276733",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.