Individual provider Active NPI

Jessica Marie Yeager, PMHNP, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Eugene, OR
National Provider Identifier
1326458753
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
201801007NP-PP Issued in OR
Practice address
1178 Charnelton St
Eugene, OR 97401-3431
Phone
(541) 777-8879
Fax
(541) 391-5934
NPI assigned
May 7, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 201800903RN OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 201801007NP-PP OR Primary

Addresses

Primary practice location

1178 Charnelton St
Eugene, OR 97401-3431

Mailing address

1178 Charnelton St
Eugene, OR 97401-3431
Phone (541) 777-8879

Other identifiers 1

IdentifierTypeStateIssuer
500739182MedicaidOR

Other names 1

  • Miss Jessica Marie Berquist Former name

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
I20190709000603 OR Practitioner - Nurse Practitioner 9133407182 Reassigns benefits to 1 organization
Practice locations: Eugene, OR

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1178 Charnelton St
Eugene, OR 97401-3431
Phone (541) 777-8879

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201800903RNORMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Catharsis Counseling LLC CurrentSince May 11, 2025 Accepting new patients
Beautiful Minds PC Psychiatric/Mental Health PastSince Mar 20, 2025 Accepting new patients

Locations

1178 Charnelton St
Eugene, OR 97401
Phone (541) 321-8631

1413 Charnelton St
Eugene, OR 97401
Phone (541) 344-8441

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.

NPI Registry JSON

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1326458753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1178 CHARNELTON ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013431",
            "telephone_number": "541-777-8879",
            "fax_number": "541-942-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1178 CHARNELTON ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013431",
            "telephone_number": "541-777-8879",
            "fax_number": "541-391-5934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEAGER",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PMHNP, DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-07",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201800903RN",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201801007NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500739182",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BERQUIST",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "JESSICA BERQUIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.