Active NPI
Jenifer Ausiello, DNP, APRN
- Nurse Practitioner
- Springfield, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 202109870NP-PP
- Practice address
- 400 International Way Ste 200
Springfield, OR 97477-7004 - Phone
- (541) 844-0151
- Fax
- (702) 998-2594
- NPI assigned
- Jan 14, 2014
- Last updated
- Mar 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN001662 | NV | |
| Nurse Practitioner | 363L00000X | 202109870NP-PP | OR | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | APRN001662 | NV | |
| Gerontology Nurse Practitioner | 363LG0600X | APRN001662 | NV | |
| Primary Care Nurse Practitioner | 363LP2300X | 202109870NP-PP | OR | |
| Primary Care Nurse Practitioner | 363LP2300X | APRN001662 | NV |
Addresses
Primary practice location
400 International Way Ste 200
Springfield, OR 97477-7004
Mailing address
32390 Dillard Rd
Eugene, OR 97405-9544
Phone (702) 838-0054
Other practice location 1
7391 W Charleston Blvd
Suite 140
Las Vegas, NV 89117-1577
Phone (702) 304-2144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN001662 | NV | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bristol Advanced Illness Management - Oregon, L.L.C. | Current | Accepting new patients | |
| Deschutes Rheumatology, LLC | Current | Accepting new patients | |
| Dignity Health | Current | Accepting new patients | |
| Bristol Hospice - Eugene, LLC | Current | Accepting new patients | |
| Dignity Health | Current | Accepting new patients |
Locations
10001 S Eastern Ave
Ste 203
Henderson, NV 89052
Phone (702) 616-5915
2200 Paseo Verde Pkwy
Ste 260
Henderson, NV 89052
2865 Siena Heights Dr
Ste 131
Henderson, NV 89052
Phone (702) 616-6580
3001 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 615-5000
695 NW York Dr
Ste 110
Bend, OR 97703
Phone (541) 388-3978
1400 Executive Pkwy
Ste 415
Eugene, OR 97401
670 Hawthorne Ave SE
Ste 210
Salem, OR 97301
Phone (541) 388-3978
1077 Gateway Loop
Ste B
Springfield, OR 97477
Phone (541) 844-0151
400 International Way
Ste 200
Springfield, OR 97477
Phone (541) 844-0151
15301 Spectrum Dr
Ste 330
Addison, TX 75001
Phone (806) 239-5716
2002 Timberloch Pl
Ste 150A
The Woodlands, TX 77380
Phone (281) 419-4476
206 N 2100 W
Ste 202
Slc, UT 84116
Phone (801) 325-0175
Organizations & group practices 5
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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Springfield, OR
- NPI 1083364749
-
dba Dignity Health St. Rose Specialty Clinics
- Neurological Surgery Physician
- Henderson, NV
- NPI 1720358039
-
- Community Based Hospice Care Agency
- Springfield, OR
- NPI 1568962033
-
dba Mercy Medical Center Redding
- General Acute Care Hospital
- Redding, CA
- NPI 1477671535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678665600000",
"number": "1588086250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32390 DILLARD RD",
"city": "EUGENE",
"state": "OR",
"postal_code": "974059544",
"telephone_number": "702-838-0054",
"fax_number": "702-998-2594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 INTERNATIONAL WAY STE 200",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974777004",
"telephone_number": "541-844-0151",
"fax_number": "702-998-2594"
}
],
"practiceLocations": [
{
"address_1": "7391 W Charleston Blvd",
"address_2": "Suite 140",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891171577",
"country_code": "US",
"telephone_number": "702-304-2144",
"fax_number": "702-304-2147",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AUSIELLO",
"first_name": "JENIFER",
"credential": "DNP, APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-14",
"last_updated": "2023-03-13",
"certification_date": "2023-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "APRN001662",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OR",
"license": "202109870NP-PP",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NV",
"license": "APRN001662",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NV",
"license": "APRN001662",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "OR",
"license": "202109870NP-PP",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NV",
"license": "APRN001662",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.