Individual provider Active NPI

Jennifer Lee Fisher, PA-C

  • Physician Assistant
  • Eugene, OR
National Provider Identifier
1295138444
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
600 Country Club Rd Ste 100
Eugene, OR 97401-2240
Phone
(541) 463-2390
NPI assigned
Oct 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OR Primary

Addresses

Primary practice location

600 Country Club Rd Ste 100
Eugene, OR 97401-2240

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380

Other practice location 1

520 Country Club
Eugene, OR 97401-6036
Phone (541) 683-5001

Other practice location 2

2830 Crescent Ave
Eugene, OR 97408-7397
Phone (541) 686-9000

Other identifiers 1

IdentifierTypeStateIssuer
500678680MedicaidOR

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
I20141211000833 OR Practitioner - Physician Assistant 8820310360 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Icco LLCGroup PAC ID 1355406729, 133 clinicians
Oregon Healthcare Resources LLCGroup PAC ID 4486835477, 160 clinicians

Practice addresses (Care Compare)

108 NW Sisemore St
Suite 120
Bend, OR 97703-2869
Phone (541) 640-7625

1445 Gateway Blvd
Cottage Grove, OR 97424-1224
Phone (541) 942-7000

1755 SW Baker St
McMinnville, OR 97128-9112
Phone (971) 900-4522

1800 Coburg Rd
Eugene, OR 97401-4995
Phone (541) 345-8760

186 W Ellendale Ave
Dallas, OR 97338-1408
Phone (541) 640-7625

2000 N 19TH St
Springfield, OR 97477-2526
Phone (541) 746-5437

2710 Willamette St
Eugene, OR 97405-3238
Phone (541) 735-3161

355 W 3Rd Ave
Junction City, OR 97448-1313
Phone (541) 998-6750

3737 Shasta Way
Suite a
Klamath Falls, OR 97603-4982
Phone (541) 640-7625

4040 W 11TH Ave
Suite B
Eugene, OR 97402-5601
Phone (541) 500-2500

5781 Main St
Springfield, OR 97478-5426
Phone (541) 654-0282

598 E 13TH Ave
Eugene, OR 97401-4783
Phone (541) 636-3473

600 Country Club Rd
Eugene, OR 97401-2240
Phone (541) 345-0600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Healthcare Resources, LLC CurrentSince Jan 6, 2025 Accepting new patients
Oregon Healthcare Resources, LLC CurrentSince Jan 6, 2025 Accepting new patients
Icco, LLC CurrentSince Jun 14, 2021 Accepting new patients
Icco, LLC Past Accepting new patients
Icco, LLC Past Accepting new patients

Locations

1800 Coburg Rd
Eugene, OR 97401
Phone (541) 342-1632

600 Country Club Rd
#100
Eugene, OR 97401
Phone (541) 228-3400

2830 Crescent Ave
Eugene, OR 97408
Phone (541) 636-9019

2710 Willamette St
Eugene, OR 97405
Phone (541) 735-3161

2000 N 19th St
Springfield, OR 97477
Phone (541) 284-1694

5781 Main St
Springfield, OR 97478
Phone (541) 284-1694

Interoperability endpoints

  • Direct secure messaging: jfisher129861@westdirect.optum.com
  • Direct secure messaging: jennifer.fisher@wvci.ikm.direct-ci.com

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": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1295138444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 COUNTRY CLUB RD STE 100",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012240",
            "telephone_number": "541-463-2390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Country Club",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974016036",
            "country_code": "US",
            "telephone_number": "541-683-5001",
            "fax_number": "541-683-1422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2830 Crescent Ave",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974087397",
            "country_code": "US",
            "telephone_number": "541-686-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHER",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-02",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500678680",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.