NPIMap

Individual provider Active NPI

Jennifer Hedden, M.D.

  • Family Medicine Physician
  • Tillamook, OR
National Provider Identifier
1326350703
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD164454 Issued in OR
Practice address
1000 3Rd St
Tillamook, OR 97141-3430
Phone
(503) 842-5546
NPI assigned
Jul 13, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301097357 MI
Family Medicine Physician 207Q00000X MD164454 OR Primary

Addresses

Primary practice location

1000 3Rd St
Tillamook, OR 97141-3430

Mailing address

1000 3Rd St
Tillamook, OR 97141-3430

Other names 1

  • Jennifer Kozak Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140317000661 OR Practitioner - Family Practice 6002047065 Reassigns benefits to 1 organization
I20251024004013 WA Practitioner - Family Practice 6002047065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 3Rd St
Tillamook, OR 97141-3430
Phone (503) 815-2260

1000 3Rd St
Tillamook, OR 97141-3497

1011 3Rd St
Tillamook, OR 97141-8292
Phone (503) 915-2280

1100 3Rd St
Tillamook, OR 97141-3402
Phone (503) 815-2280

310 S Roosevelt St
Goldendale, WA 98620-9201
Phone (509) 486-2151

317 Sanders Way
Goldendale, WA 98620-9059
Phone (509) 773-4017

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.81 of 100Reported as group
Quality
71.23
Promoting interoperability
88
Improvement activities
40
Cost
81.9

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
92.23
Promoting interoperability
100
Improvement activities
40
Cost
100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301097357MIMDFamily Medicine Physician
MD164454ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Klickitat County Public Hospital District No 1 CurrentSince Oct 6, 2025 Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince Oct 1, 2013 Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince Oct 1, 2013 Accepting new patients
Klickitat County Public Hospital District No 1 CurrentSince Oct 6, 2025 Accepting new patients
Klickitat County Public Hospital District No 1 Past Accepting new patients
Klickitat County Public Hospital District No 1 Past Accepting new patients

Locations

1000 3rd St
#M
Tillamook, OR 97141
Phone (503) 815-2260

1000 3rd St
Tillamook, OR 97141
Phone (503) 251-6129

317 Sanders Way
Goldendale, WA 98620
Phone (509) 773-4017

310 S Roosevelt St
Goldendale, WA 98620
Phone (509) 486-2151

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1326350703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 3RD ST",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971413430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 3RD ST",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971413430",
            "telephone_number": "503-842-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDDEN",
        "first_name": "JENNIFER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-13",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301097357",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD164454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KOZAK",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tillamook, OR

Sources for this page

Verify at the official NPI Registry.