Individual provider Active NPI

Megan Kaye Jasper, PA-C

  • Physician Assistant
  • Portland, OR
National Provider Identifier
1790212983
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.010173 Issued in IL
Practice address
17979 NE Glisan St
Portland, OR 97230
Phone
(888) 227-3312
NPI assigned
May 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA61081102 WA
Physician Assistant 363A00000X PA184037 OR
Physician Assistant 363A00000X 085.010173 IL Primary

Addresses

Primary practice location

17979 NE Glisan St
Portland, OR 97230

Mailing address

PO Box 3158
Portland, OR 97208-3158

Other names 1

  • Ms. Megan Aaseby Former name

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address mjasper787720@oc.providencedirect.org
Direct Messaging Address mjasper787720@oc.providencedirect.org
Direct Messaging Address mjasper787720@oc.providencedirect.org
Direct Messaging Address mjasper787720@oc.providencedirect.org
Direct Messaging Address mjasper787720@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 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

Enrollment IDStateProvider typePAC IDDetails
I20241016002220 IL Practitioner - Physician Assistant 6002174836 Reassigns benefits to 2 organizations
I20241205002268 IA Practitioner - Physician Assistant 6002174836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Pacific Medical College, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acute Care Surgery of South Dakota PCGroup PAC ID 5698195030, 67 clinicians

Practice addresses (Care Compare)

2701 17TH St
Rock Island, IL 61201-5351
Phone (563) 742-3661

4480 Utica Ridge Rd
Suite 2230
Bettendorf, IA 52722-1644
Phone (563) 742-3661

4500 Utica Ridge Rd
Bettendorf, IA 52722-1626
Phone (563) 742-3661

500 John Deere Rd
Moline, IL 61265-6892
Phone (563) 277-0300

600 John Deere Rd
Suite 308
Moline, IL 61265-6812
Phone (618) 227-7500

600 S 13TH St
Pekin, IL 61554-4936
Phone (309) 347-1151

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085.010173ILMDPhysician Assistant
PA184037ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bespoke Psychiatry CurrentSince Sep 1, 2024 Accepting new patients
Acute Care Surgical Affiliates of Texas PA Past Accepting new patients
Providence Health & Services - Washington Past Accepting new patients

Locations

1203 W Augusta Blvd
Ste 1
Chicago, IL 60642
Phone (773) 248-2255

Interoperability endpoints

  • Direct secure messaging: mjasper787720@oc.providencedirect.org

Organizations & group practices 4

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": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1790212983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3158",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17979 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97230",
            "telephone_number": "888-227-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASPER",
        "first_name": "MEGAN",
        "middle_name": "KAYE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-18",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61081102",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA184037",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.010173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mjasper787720@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "4816 NW Bethany Blvd",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972299254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mjasper787720@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "955 SE Baseline St",
            "city": "Hillsboro",
            "state": "OR",
            "country_code": "US",
            "postal_code": "971234207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mjasper787720@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "17979 NE Glisan St",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "97230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mjasper787720@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "14617 SE McLoughlin Blvd",
            "city": "Milwaukie",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972671416",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mjasper787720@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "14600 SW Murray Scholls Dr",
            "city": "Beaverton",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970079712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "AASEBY",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.