Individual provider Active NPI

Jessica R Perley, ARNP

  • Nurse Practitioner
  • Ashland, OR
National Provider Identifier
1639759335
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
202200981NP-PP Issued in OR
Practice address
148 E Hersey St
Ashland, OR 97520-1359
Phone
(541) 326-4777
Fax
(541) 708-6372
NPI assigned
Apr 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 5380079081 KS
Nurse Practitioner 363L00000X 202200981NP-PP OR Primary

Addresses

Primary practice location

148 E Hersey St
Ashland, OR 97520-1359

Mailing address

148 E Hersey St
Ashland, OR 97520-1359
Phone (541) 326-4777

Other practice location 1

4818 Lucille Ln
Shawnee, KS 66203-1044
Phone (913) 522-5741

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Shawnee Direct
CONNECT URL Shawnee Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220216000916 OR Practitioner - Nurse Practitioner 1052704053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Missouri, Kansas City, School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monarque Health and Wellness LLCGroup PAC ID 3678832151, 2 clinicians

Practice addresses (Care Compare)

148 E Hersey St
Ashland, OR 97520-1359
Phone (541) 326-4777

Hospital & facility affiliations

  • Asante Ashland Community Hospital Hospital, Ashland, OR, CCN 380005
  • Asante Rogue Regional Medical Center Hospital, Medford, OR, CCN 380018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202200981NP-PPORMDNurse Practitioner
5380079081KSMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monarque Health and Wellness LLC CurrentSince Feb 2, 2022 Accepting new patients

Locations

148 E Hersey St
Ashland, OR 97520
Phone (541) 326-4777

Interoperability endpoints

  • Direct secure messaging: jessica.perley.1@15895.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15895/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1639759335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 E HERSEY ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201359",
            "telephone_number": "541-326-4777",
            "fax_number": "541-708-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 E HERSEY ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201359",
            "telephone_number": "541-326-4777",
            "fax_number": "541-708-6372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4818 Lucille Ln",
            "address_purpose": "LOCATION",
            "city": "Shawnee",
            "state": "KS",
            "postal_code": "662031044",
            "country_code": "US",
            "telephone_number": "913-522-5741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERLEY",
        "first_name": "JESSICA",
        "middle_name": "R",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-08",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KS",
            "license": "5380079081",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "202200981NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Shawnee",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4818 Lucille Ln",
            "city": "Shawnee",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662031044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Shawnee",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4818 Lucille Ln",
            "city": "Shawnee",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662031044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

Verify at the official NPI Registry.