Individual provider Active NPI

Jessica G. Anderson, RN.

  • Registered Nurse
  • Harrisburg, OR
National Provider Identifier
1619827060
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
201140585RN Issued in OR
Practice address
865 Lasalle St
Harrisburg, OR 97446
Phone
(541) 995-6626
Fax
(541) 995-3453
NPI assigned
Feb 3, 2026
Last updated
Feb 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 201140585RN OR Primary

Addresses

Primary practice location

865 Lasalle St
Harrisburg, OR 97446

Mailing address

P.O Box 208
Harrisburg, OR 97446
Phone (541) 995-6626

Other identifiers 1

IdentifierTypeStateIssuer
201140585RNOtherUTRN

Other names 1

  • Jessica G. Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
201140585RNORMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Harrisburg School District 7 PastSince May 18, 2025 Accepting new patients
Linn Co School Dist Past Accepting new patients

Organizations & group practices 2

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": "1770076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1619827060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 208",
            "city": "HARRISBURG",
            "state": "OR",
            "postal_code": "97446",
            "telephone_number": "541-995-6626",
            "fax_number": "541-995-3453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 LASALLE ST",
            "city": "HARRISBURG",
            "state": "OR",
            "postal_code": "97446",
            "telephone_number": "541-995-6626",
            "fax_number": "541-995-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JESSICA",
        "middle_name": "G.",
        "credential": "RN.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-03",
        "last_updated": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201140585RN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "201140585RN",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SMITH",
            "middle_name": "G.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harrisburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.