Julia E Jansen, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

10021781 Issued in OR

Practice address

1001 SW Disk Dr Ste 250
Bend, OR 97702-3754

Phone

(541) 293-1325

Fax

(541) 229-1314

NPI assigned

Sep 19, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Pivot Behavioral Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bend, OR
  • NPI 1447926829

  Single Specialty

  NPD

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707523200000",
    "number": "1609654748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20857 SE HUMBER LN",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023763",
            "telephone_number": "360-529-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SW DISK DR STE 250",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023754",
            "telephone_number": "541-293-1325",
            "fax_number": "541-229-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSEN",
        "first_name": "JULIA",
        "middle_name": "E",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-19",
        "last_updated": "2024-02-10",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10021781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Jameson
• Fahad Jamil, M.D.
• Jana Vanamburg MD PC
• Janet Foliano PSYD LLC
• Jeremy Dean Jansen, PHARM.D.
• Joseph Janssen
• Jared R. Anderson, DDS, PC
• Katie Jarrett, BA
• Jason Holtman DDS LLC
• Jose Luis Javier, DDS

• Psychiatric/Mental Health Nurse Practitioner in Bend, OR
• Providers in Bend, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.