Individual provider Active NPI

Joanna Jensen

  • Family Nurse Practitioner
  • Longview, WA
National Provider Identifier
1780058743
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60616019 Issued in WA
Practice address
1035 11TH Ave
Longview, WA 98632-2505
Phone
(360) 696-5103
Fax
(360) 729-3451
NPI assigned
Nov 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60616019 WA Primary

Addresses

Primary practice location

1035 11TH Ave
Longview, WA 98632-2505

Mailing address

400 NE Mother Joseph PL
Vancouver, WA 98664-3200

Other practice location 1

1718 Kessler Blvd
Longview, WA 98632-3634
Phone (360) 747-5800

Other practice location 2

5400 MacArthur Blvd
Vancouver, WA 98661-7049
Phone (360) 696-5103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20160127001436 WA Practitioner - Nurse Practitioner 9537462429 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PeacehealthGroup PAC ID 5092624296, 22 clinicians

Practice addresses (Care Compare)

1035 11TH Ave
Longview, WA 98632-2505
Phone (360) 696-5103

Hospital & facility affiliations

  • Peacehealth St John Medical Center Hospital, Longview, WA, CCN 500041

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60616019WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince Dec 21, 2015 Accepting new patients
Peacehealth CurrentSince Dec 29, 2024 Accepting new patients
Peacehealth CurrentSince Dec 29, 2024 Accepting new patients

Locations

1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818

1035 11th Ave
Longview, WA 98632
Phone (360) 425-8510

400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000

5400 MacArthur Blvd
Vancouver, WA 98661
Phone (360) 696-5100

1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253

Interoperability endpoints

  • Direct secure messaging: jkarjola26697@direct.peacehealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1447372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1780058743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 NE MOTHER JOSEPH PL",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986643200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 11TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322505",
            "telephone_number": "360-696-5103",
            "fax_number": "360-729-3451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1718 Kessler Blvd",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986323634",
            "country_code": "US",
            "telephone_number": "360-747-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5400 MacArthur Blvd",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986617049",
            "country_code": "US",
            "telephone_number": "360-696-5103",
            "fax_number": "360-729-3451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "JOANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-13",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60616019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

Verify at the official NPI Registry.