Individual provider Active NPI

Jenifer Ausiello, DNP, APRN

  • Nurse Practitioner
  • Springfield, OR
National Provider Identifier
1588086250
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
202109870NP-PP Issued in OR
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140509001487 NV Practitioner - Nurse Practitioner 2062645450 Reassigns benefits to 1 organization
I20230207001198 OR Practitioner - Nurse Practitioner 2062645450 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN001662NVMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Advanced Illness Management - Oregon, L.L.C. CurrentSince Jan 9, 2023 Accepting new patients
Deschutes Rheumatology, LLC CurrentSince Oct 9, 2023 Accepting new patients
Dignity Health CurrentSince Apr 16, 2018 Accepting new patients
Bristol Hospice - Eugene, LLC CurrentSince Jan 9, 2023 Accepting new patients
Dignity Health CurrentSince Apr 16, 2018 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.

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

Verify at the official NPI Registry.