Individual provider Active NPI

Jennifer Haas Pierron, FNP

  • Family Nurse Practitioner
  • Portland, OR
National Provider Identifier
1366054819
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10007948 Issued in OR
Practice address
5100 S Macadam Ave Ste 200
Portland, OR 97239-3827
Phone
(971) 202-5500
Fax
(971) 202-5555
NPI assigned
Aug 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 201803611RN OR
Family Nurse Practitioner 363LF0000X AP61430793 WA
Family Nurse Practitioner 363LF0000X 10007948 OR Primary

Addresses

Primary practice location

5100 S Macadam Ave Ste 200
Portland, OR 97239-3827

Mailing address

5100 S Macadam Ave Ste 200
Portland, OR 97239-3827
Phone (971) 202-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230530002014 WA Practitioner - Nurse Practitioner 9436516820 Reassigns benefits to 1 organization
I20240726001859 OR Practitioner - Nurse Practitioner 9436516820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Housecall Providers PCGroup PAC ID 7113297789, 23 clinicians

Practice addresses (Care Compare)

5100 S Macadam Ave
Suite 200
Portland, OR 97239-3827
Phone (971) 202-5500

Hospital & facility affiliations

  • Divine Mercy Home Health, LLC Home health agency, Beaverton, OR, CCN 387164
  • Signature Healthcare at Home Home health agency, Tigard, OR, CCN 387148
  • Providence Home Health Home health agency, Portland, OR, CCN 387048
  • Adventist Health Portland Hospital, Portland, OR, CCN 380060

Merit-based Incentive Payment System (MIPS)

Final score
92.83 of 100Reported as group
Quality
96.26
Promoting interoperability
100
Improvement activities
40
Cost
79.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201803611RNORMDMedical-Surgical Registered Nurse
10007948ORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Salmon Creek Hospital CurrentSince May 18, 2023 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince May 18, 2023 Accepting new patients
Housecall Providers, PC CurrentSince Jul 15, 2024 Accepting new patients

Locations

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

5100 S Macadam Ave
Ste 200
Portland, OR 97239
Phone (971) 202-5500

1625 SE 192nd Ave
Ste 100
Camas, WA 98607
Phone (360) 487-1965

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

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.

Hospital & facility affiliations 4

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": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1366054819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 S MACADAM AVE STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393827",
            "telephone_number": "971-202-5500",
            "fax_number": "971-202-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 S MACADAM AVE STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393827",
            "telephone_number": "971-202-5500",
            "fax_number": "971-202-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRON",
        "first_name": "JENNIFER",
        "middle_name": "HAAS",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "OR",
            "license": "201803611RN",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61430793",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10007948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.