Active NPI
Jacquelyn Corley, M.D.
- Neurological Surgery Physician
- Corvallis, OR
National Provider Identifier
1275929473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- MD211053
- Practice address
- 3615 NW Samaritan Dr Ste 210
Corvallis, OR 97330-3771 - Phone
- (541) 768-4501
- NPI assigned
- Apr 14, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neurological Surgery Physician | 207T00000X | MD211053 | OR | Primary |
Addresses
Primary practice location
3615 NW Samaritan Dr Ste 210
Corvallis, OR 97330-3771
Mailing address
PO Box 3777
Portland, OR 97208-3777
Other practice location 1
2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111
Other practice location 2
501 N Graham St Ste 445
Portland, OR 97227
Phone (503) 944-6300
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jcorley214738@samhealth.direct-ci.com |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Rush Medical College of Rush University, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
501 N Graham St
Suite 445
Portland, OR 97227-2002
Phone (503) 944-6300
Hospital & facility affiliations
- Legacy Emanuel Medical Center
- Good Samaritan Regional Medical Center
- Samaritan Albany General Hospital
- Legacy Meridian Park Medical Center
- Samaritan Pacific Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.14 of 100
- Quality
- 85.78
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.31
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.65 of 100
- Quality
- 86.8
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 86.36
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 13 |
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD211053 | OR | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Clinics LLC | Current | Accepting new patients | |
| Legacy Clinics LLC | Neurological Surgery | Current | Accepting new patients |
| Good Samaritan Hospital Corvallis | Current | Accepting new patients |
Locations
815 NW 9th St
Ste 215
Corvallis, OR 97330
Phone (541) 768-1888
3615 NW Samaritan Dr
Ste 210
Corvallis, OR 97330
Phone (541) 768-4501
3600 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 768-4906
3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261
1040 NW 22nd Ave
Ste 420
Portland, OR 97210
Phone (503) 229-7566
501 N Graham St
Ste 445
Portland, OR 97227
Phone (503) 284-5220
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
Interoperability endpoints
- jcorley214738@samhealth.direct-ci.com
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.
-
- General Acute Care Hospital
- Corvallis, OR
- NPI 1962453134
-
- Rural Health Clinic/Center
- Sandy, OR
- NPI 1730472192
Hospital & facility affiliations 56
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albany, OR
- NPI 1154372340
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Albany, OR
- NPI 1326755158
Hospital
-
- Endocrinology, Diabetes & Metabolism Physician
- Albany, OR
- NPI 1346620408
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748908800000",
"number": "1275929473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3777",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3615 NW SAMARITAN DR STE 210",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973303771",
"telephone_number": "541-768-4501"
}
],
"practiceLocations": [
{
"address_1": "2301 Erwin Rd",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277054699",
"country_code": "US",
"telephone_number": "919-684-8111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 N Graham St Ste 445",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "97227",
"country_code": "US",
"telephone_number": "503-944-6300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORLEY",
"first_name": "JACQUELYN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-14",
"last_updated": "2025-06-03",
"certification_date": "2025-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "OR",
"license": "MD211053",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jcorley214738@samhealth.direct-ci.com",
"affiliation": "N",
"address_1": "3615 NW Samaritan Dr Ste 210",
"city": "Corvallis",
"state": "OR",
"country_code": "US",
"postal_code": "973303771",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.