Active NPI
Jessica Fern, CNP
- Acute Care Nurse Practitioner
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 10042280
- Practice address
- 3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011 - Phone
- (503) 494-1775
- Fax
- (503) 494-4749
- NPI assigned
- Feb 15, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 8
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.
-
- Pharmacy
- Beaverton, OR
- NPI 1073054714
-
- Clinic/Center
- Vancouver, WA
- NPI 1881848307
-
- Adult Mental Health Clinic/Center
- Portland, OR
- NPI 1750753687
-
- Pediatrics Physician
- Medford, OR
- NPI 1225282122
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- University Professional Services
Practice addresses (Care Compare)
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8311
Hospital & facility affiliations
- Ohsu Hospital and Clinics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170413002462 | OH | Practitioner - Nurse Practitioner | 3274819867 | Reassigns benefits to 3 organizations |
| I20250428002802 | OR | Practitioner - Nurse Practitioner | 3274819867 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020526 | OH | MD | Acute Care Nurse Practitioner |
| 10042280 | OR | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Cleveland Clinic Foundation | Current | Accepting new patients | |
| University Professional Services | Current | Accepting new patients | |
| University Professional Services | Current | Accepting new patients | |
| Cleveland Medical Management LLC | Current | Accepting new patients | |
| University Professional Services | Current | Accepting new patients | |
| Cleveland Kidney Disease Associates | Current | Accepting new patients | |
| University Professional Services | Past | Accepting new patients |
Locations
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
730 Hillcrest Ave
Franklin, OH 45005
Phone (800) 423-6078
15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000
3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674
Interoperability endpoints
- jfern193937@direct.ohsu.edu
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 020526 | OH | |
| Acute Care Nurse Practitioner | 363LA2100X | 10042280 | OR | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Mailing address
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-1775
Other practice location 1
56 Putter Way
Camden Wyoming, DE 19934-4007
Phone (302) 270-6471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 28, 2025.
{
"created_epoch": "1487116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748390400000",
"number": "1700325313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-494-1775",
"fax_number": "503-494-4749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-494-1775",
"fax_number": "503-494-4749"
}
],
"practiceLocations": [
{
"address_1": "56 Putter Way",
"address_purpose": "LOCATION",
"city": "Camden Wyoming",
"state": "DE",
"postal_code": "199344007",
"country_code": "US",
"telephone_number": "302-270-6471",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERN",
"first_name": "JESSICA",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-15",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OH",
"license": "020526",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OR",
"license": "10042280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.