Individual provider Active NPI

Jessica Marie Colon, FNP-C

  • Family Nurse Practitioner
  • Springfield, OR
National Provider Identifier
1396582573
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10007263 Issued in OR
Practice address
3333 Riverbend Dr
Springfield, OR 97477-8800
Phone
(805) 914-8541
NPI assigned
Jul 13, 2024
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 10007263 OR
Family Nurse Practitioner 363LF0000X 10007263 OR Primary

Addresses

Primary practice location

3333 Riverbend Dr
Springfield, OR 97477-8800

Mailing address

1454 Gladiola Dr
Junction City, OR 97448-8368
Phone (805) 914-8451

Other practice location 1

3355 Riverbend Dr Ste 300
Springfield, OR 97477-8800
Phone (541) 222-8333

Other practice location 2

3377 Riverbend Dr
Springfield, OR 97477-8803
Phone (541) 222-8080

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
I20241106001853 OR Practitioner - Nurse Practitioner 2163956665 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PeacehealthGroup PAC ID 8527016039, 200 clinicians

Practice addresses (Care Compare)

3377 Riverbend Dr
Springfield, OR 97477-8803
Phone (541) 222-2700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10007263ORMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Medical Group CurrentSince Dec 20, 2024 Accepting new patients
Peacehealth Nurse Practitioner CurrentSince Dec 20, 2024 Accepting new patients
Peacehealth Past Accepting new patients
Northwest Surgical Specialists LLP PastSince Dec 27, 1995 Accepting new patients

Locations

4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300

2801 NW Mercy Dr
Ste 350
Roseburg, OR 97471
Phone (541) 222-2700

3333 Riverbend Dr
Springfield, OR 97477
Phone (541) 222-3154

3355 Riverbend Dr
Ste 300
Springfield, OR 97477
Phone (541) 222-8333

3355 Riverbend Dr
Ste 400
Springfield, OR 97477
Phone (541) 222-2402

Interoperability endpoints

  • Direct secure messaging: jcolon616973@direct.peacehealth.org

Organizations & group practices 4

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.

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": "1720828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1396582573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 GLADIOLA DR",
            "city": "JUNCTION CITY",
            "state": "OR",
            "postal_code": "974488368",
            "telephone_number": "805-914-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 RIVERBEND DR",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974778800",
            "telephone_number": "805-914-8541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3355 Riverbend Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974778800",
            "country_code": "US",
            "telephone_number": "541-222-8333",
            "fax_number": "541-222-8320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3377 Riverbend Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974778803",
            "country_code": "US",
            "telephone_number": "541-222-8080",
            "fax_number": "541-222-8398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLON",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-13",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "10007263",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10007263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

Verify at the official NPI Registry.