Jessica Woodside Monahan, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

61410145 Issued in WA

Practice address

9895 SE Sunnyside Rd Ste F
Clackamas, OR 97015-9745

Phone

(971) 300-0654

NPI assigned

Oct 14, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Jessica Sarah Cook Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR, WA2 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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Robert Olsen MD LLCGroup PAC ID 7517354517, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bestmindbehavioralhealth.jessicamonahan@151547.advancedmd-direct.com

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.

• Robert Olsen MD LLC

  • Psychiatry Physician
  • Portland, OR
  • NPI 1902565930
  Medicare reassignment Care Compare group NPD
• Robert Olsen MD Washington PC

  • Psychiatry Physician
  • Vancouver, WA
  • NPI 1073331948
  Medicare reassignment NPD
• Michael a. Dornbusch, DC, PS

  • Physical Medicine & Rehabilitation Physician
  • Washougal, WA
  • NPI 1437390747

  Family

  NPD (past)
• Pure Wellness Chiropractic Washougal PLLC

  • Chiropractor
  • Washougal, WA
  • NPI 1386489037
  NPD (past)

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1760108377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 NW 22ND AVE",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986077978",
            "telephone_number": "530-913-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9895 SE SUNNYSIDE RD STE F",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159745",
            "telephone_number": "971-300-0654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10029 SW Nimbus Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970087169",
            "country_code": "US",
            "telephone_number": "971-333-1701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3307 Evergreen Way Ste 601",
            "address_purpose": "LOCATION",
            "city": "Washougal",
            "state": "WA",
            "postal_code": "986712062",
            "country_code": "US",
            "telephone_number": "360-835-9911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONAHAN",
        "first_name": "JESSICA",
        "middle_name": "WOODSIDE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-14",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "202007707RN",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10006008",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "61410145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON STATE LICENSE NUMBER",
            "identifier": "202007707RN",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jescook2@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "10029 SW Nimbus Ave Ste 110",
            "city": "Beaverton",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970087169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "COOK",
            "middle_name": "SARAH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Lee Moiel, M.D.
• Tresa Marie Mokalla, RPH
• James Matthew Mol, PH.D.
• Kade Mollinedo
• Lucinda Sue Molnar, PA
• Fariba Monfared, RPH
• Mina Monroe, MSW MPH
• Dinelli Monson, M.D.
• Daniel Montes
• Laura Stephanie Montez, PA-C

• Family Nurse Practitioner in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.

Verify at the official NPI Registry.