Jessica L Oltman, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

201401076NP-PP Issued in OR

Practice address

600 NW 11TH St
Suite E-15
Hermiston, OR 97838-8605

Phone

(541) 567-6434

Fax

(541) 429-6613

NPI assigned

Aug 9, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

University of Cincinnati College of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hermiston Medical Center P CGroup PAC ID 9133028798, 10 clinicians

Praxis Health PCGroup PAC ID 8325941446, shared by 5 NPIs, 174 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Good Shepherd Medical Center Hospital, Hermiston, OR, CCN 381325

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessica.oltman.1@31984.direct.athenahealth.com

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.

• Hermiston Medical Center P C

  • Family Medicine Physician
  • Hermiston, OR
  • NPI 1467403329
  Medicare reassignment Care Compare group NPD
• Hermiston Medical Center P C

  • Rural Health Clinic/Center
  • Hermiston, OR
  • NPI 1255149175
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Good Shepherd Health Care System

  • Critical Access Hospital
  • Hermiston, OR
  • NPI 1295789667
  Care Compare affiliation

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403827200000",
    "number": "1508113408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NW 11TH ST",
            "address_2": "SUITE E-15",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978388605",
            "telephone_number": "541-567-6434",
            "fax_number": "541-429-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NW 11TH ST",
            "address_2": "SUITE E-15",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978388605",
            "telephone_number": "541-567-6434",
            "fax_number": "541-429-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLTMAN",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2014-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "204271",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0990427-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201401076NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19588828",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracia Nunnally, CADC-R
• Asuzena Kay Ochoa, CRM
• Jennifer L Offer, LMSW
• Olthyme LLC
• Guy Eugene Oltman, M.D.
• Jonas H Oltman, D.O.
• Joaquina Ordonez Cruz de Pablo
• Oregon Pip Dental Group, PC
• Oregon Sleep Center
• Oregon Washington Health Network- Centro Copes

• Family Nurse Practitioner in Hermiston, OR
• Providers in Hermiston, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.