Jessica Renae Jurasin, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP60573932 Issued in WA

Practice address

600 E Main St
Elma, WA 98541-9560

Phone

(360) 346-2222

Fax

(360) 346-2191

NPI assigned

Jun 30, 2015

Last updated

Jun 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jessica Renae Koski Former name

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grays Harbor County Public Hospital District No 1

  dba Summit Pacific Medical Center

  • Critical Access Hospital
  • Elma, WA
  • NPI 1740211028
  Medicare reassignment NPD
• Grays Harbor County Public Hospital District No 1

  dba Summit Pacific Health Clinic

  • Rural Health Clinic/Center
  • Elma, WA
  • NPI 1083202907
  NPD
• Grays Harbor County Public Hospital District No. 1

  dba Summit Pacific Wellness Clinic

  • Rural Health Clinic/Center
  • Elma, WA
  • NPI 1811025216
  NPD
• Olympia Pediatrics, PLLC

  • Specialist
  • Olympia, WA
  • NPI 1306012083
  NPD (past)

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1346623048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 TOLOMEI DR",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985201314",
            "telephone_number": "360-581-6708",
            "fax_number": "360-346-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E MAIN ST",
            "city": "ELMA",
            "state": "WA",
            "postal_code": "985419560",
            "telephone_number": "360-346-2222",
            "fax_number": "360-346-2191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Shelton",
            "state": "WA",
            "postal_code": "985842255",
            "country_code": "US",
            "telephone_number": "360-426-0890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JURASIN",
        "first_name": "JESSICA",
        "middle_name": "RENAE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60573932",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO61324263",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "KOSKI",
            "middle_name": "RENAE",
            "credential": "LPN, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Christian R Koehler, CFCS
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• Kolpak Counseling
• Stanley D Kolpak II, PHD

• Family Nurse Practitioner in Elma, WA
• Providers in Elma, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.