NPIMap

Individual provider Active NPI

Jenna R Newcomb Barkhimer, PA-C

  • Physician Assistant
  • White Salmon, WA
National Provider Identifier
1437397734
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
60276526 Issued in WA
Practice address
211 NE Skyline Dr
White Salmon, WA 98672-1948
Phone
(509) 493-1101
Fax
(509) 493-2838
NPI assigned
Jan 26, 2009
Last updated
Sep 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4270 AZ
Physician Assistant 363A00000X 60276526 WA Primary

Addresses

Primary practice location

211 NE Skyline Dr
White Salmon, WA 98672-1948

Mailing address

PO Box 99
White Salmon, WA 98672-0099
Phone (509) 493-1101

Other practice location 1

24800 SE Stark St
Gresham, OR 97030-3378
Phone (503) 674-1122

Other identifiers 2

IdentifierTypeStateIssuer
2022061MedicaidWA
500649256MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jennanewcomb@skylinehospital.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120927000616 WA Practitioner - Physician Assistant 6507922952 Reassigns benefits to 3 organizations
I20140514000111 OR Practitioner - Physician Assistant 6507922952 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cascade Orthopedics and Sports Medicine Center, P.C.Group PAC ID 4486640695, 5 clinicians

Practice addresses (Care Compare)

1715 E 12TH St
The Dalles, OR 97058-3136
Phone (541) 296-2294

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.85 of 100Reported as group
Quality
84.92
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4270AZMDSurgery Physician
60276526WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
One Community Health CurrentSince Jul 12, 2015 Accepting new patients
Public Hospital District No 2, Klickitat County, Washington CurrentSince Jul 30, 2018 Accepting new patients
Northwest Acute Care Specialists PC CurrentSince Sep 13, 2021 Accepting new patients
Klickitat County Public Hospital District No 1 CurrentSince Nov 1, 2024 Accepting new patients
Public Hospital District No 2, Klickitat County Washington CurrentSince Jul 30, 2018 Accepting new patients
One Community Health CurrentSince Jul 12, 2015 Accepting new patients
Emergency Physicians Professional Association LTD Past Accepting new patients
Klickitat County Public Hospital District No 1 Past Accepting new patients

Locations

24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407

849 Pacific Ave
Hood River, OR 97031
Phone (541) 386-6380

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212

310 S Roosevelt St
Goldendale, WA 98620
Phone (509) 486-2151

212 NE Skyline Dr
White Salmon, WA 98672
Phone (509) 493-2133

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ac6e817f-dc27-43e8-b886-6559f137e853/

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1437397734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "986720099",
            "telephone_number": "509-493-1101",
            "fax_number": "509-493-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 NE SKYLINE DR",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "986721948",
            "telephone_number": "509-493-1101",
            "fax_number": "509-493-2838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24800 SE Stark St",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970303378",
            "country_code": "US",
            "telephone_number": "503-674-1122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWCOMB BARKHIMER",
        "first_name": "JENNA",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "4270",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "60276526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2022061",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500649256",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jennanewcomb@skylinehospital.org",
            "affiliation": "N",
            "endpointDescription": "Skyline Hospital Use",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "211 NE Skyline Dr",
            "city": "White Salmon",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986721948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in White Salmon, WA

Sources for this page

Verify at the official NPI Registry.