NPIMap

Individual provider Active NPI

Jenny Stegeman-Olsen

  • Family Medicine Physician
  • Corvallis, OR
National Provider Identifier
1760431464
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD22324 Issued in OR
Practice address
850 SW 26TH St
Corvallis, OR 97330-5427
Phone
(541) 768-8800
NPI assigned
May 9, 2006
Last updated
Jul 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD22324 OR Primary

Addresses

Primary practice location

850 SW 26TH St
Corvallis, OR 97330-5427

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other practice location 1

633 N Albany Rd NW
Albany, OR 97321-1433
Phone (541) 926-3441

Other practice location 2

777 NW 9th St Ste 320
Corvallis, OR 97330-6169
Phone (541) 768-1840

Other identifiers 1

IdentifierTypeStateIssuer
288309MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jolsen38733@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100922001116 OR Practitioner - Family Practice 5799801197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oregon Health Sciences University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Samaritan Hospital CorvallisGroup PAC ID 1557270725, 372 clinicians
Albany General HospitalGroup PAC ID 9931097987, shared by 4 NPIs, 191 clinicians

Practice addresses (Care Compare)

3600 NW Samaritan Dr
Corvallis, OR 97330-3737

400 Hickory St NW
Albany, OR 97321-1700

534 Pleasant View Way NW
Albany, OR 97321-1700

705 Elm St SW
Suite 200
Albany, OR 97321-1957
Phone (541) 812-4850

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD22324ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Hospital Corvallis CurrentSince May 22, 2023 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince May 22, 2023 Accepting new patients
Good Samaritan Hospital Corvallis Current Accepting new patients

Locations

3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261

777 NW 9th St
Ste 320
Corvallis, OR 97330
Phone (541) 768-1840

850 SW 26th St
Corvallis, OR 97331
Phone (541) 737-9355

Interoperability endpoints

  • Direct secure messaging: jstegemanolsen264142@samhealth.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 75

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

View all 75

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1760431464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 SW 26TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973305427",
            "telephone_number": "541-768-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "633 N Albany Rd NW",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "OR",
            "postal_code": "973211433",
            "country_code": "US",
            "telephone_number": "541-926-3441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "777 NW 9th St Ste 320",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973306169",
            "country_code": "US",
            "telephone_number": "541-768-1840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEGEMAN-OLSEN",
        "first_name": "JENNY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD22324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288309",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jolsen38733@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "850 SW 26th St",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973305427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.