Individual provider Active NPI

Jennifer Norman-Pitzer

  • Pediatrics Physician
  • Salem, OR
National Provider Identifier
1366804783
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD192761 Issued in OR
Practice address
1049 Edgewater St NW # 150
Salem, OR 97304-4046
Phone
(503) 814-4400
Fax
(503) 814-4414
NPI assigned
Mar 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 57.028441 OH
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X MD192761 OR Primary

Addresses

Primary practice location

1049 Edgewater St NW # 150
Salem, OR 97304-4046

Mailing address

PO Box 14001
Salem, OR 97309-5014
Phone (503) 814-4400

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190823002005 OR Practitioner - Pediatric Medicine 2668766197 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.028441OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Health CurrentSince Aug 26, 2019 Accepting new patients
Salem Health CurrentSince Aug 26, 2019 Accepting new patients

Locations

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

1049 Edgewater St NW
#150
Salem, OR 97304
Phone (503) 814-3343

Interoperability endpoints

  • Direct secure messaging: jnormanpitzer201444@direct.salemhealth.org

Organizations & group practices 2

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": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1366804783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14001",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973095014",
            "telephone_number": "503-814-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 EDGEWATER ST NW # 150",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973044046",
            "telephone_number": "503-814-4400",
            "fax_number": "503-814-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMAN-PITZER",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-24",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "57.028441",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD192761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.