Johannah Marie Gregg, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

202110588NP-PP Issued in OR

Practice address

280 S 1St Ave
Mill City, OR 97360-2324

Phone

(503) 897-4100

Fax

(503) 897-2673

NPI assigned

Sep 28, 2021

Last updated

Oct 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Klickitat County Public Hospital District No 1Group PAC ID 0648164269, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health Home Care Home health agency, The Dalles, OR, CCN 387041
• Klickitat Valley Hospital Hospital, Goldendale, WA, CCN 501316
• Mid-Columbia Medical Center Hospital, The Dalles, OR, CCN 380001
• Providence Hood River Memorial Hospital Hospital, Hood River, OR, CCN 381318

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: johannah.gregg.1@14369.direct.athenahealth.com
• Direct secure messaging: johannah.gregg.1@30520.direct.athenahealth.com

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.

• Klickitat County Public Hospital District No 1

  dba KVH Family Medicine

  • Clinic/Center
  • Goldendale, WA
  • NPI 1467530915
  Medicare reassignment Care Compare group NPD
• Klickitat County Public Hospital District No 1

  dba Klickitat Valley Hospital

  • Emergency Care Clinic/Center
  • Goldendale, WA
  • NPI 1780754507
  NPD
• Klickitat County Public Hospital District No 1

  dba Klickitat Valley Health

  • Critical Access Hospital
  • Goldendale, WA
  • NPI 1386689487
  NPD (past)

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

• Mid-Columbia Medical Center

  dba Adventist Health Columbia Gorge

  • Home Health Agency
  • The Dalles, OR
  • NPI 1205804101
  Care Compare affiliation
• Mid-Columbia Medical Center

  dba Adventist Health Columbia Gorge

  • Critical Access Hospital Clinic/Center
  • The Dalles, OR
  • NPI 1306842752
  Care Compare affiliation
• Providence Health & Services Oregon

  dba Providence Hood River Memorial Hospital

  • Critical Access Hospital
  • Hood River, OR
  • NPI 1255429338
  Care Compare affiliation
• Klickitat County Public Hospital District No 1

  dba Klickitat Valley Health

  • Critical Access Hospital
  • Goldendale, WA
  • NPI 1386689487
  Care Compare affiliation

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1790456895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 S 1ST AVE",
            "city": "MILL CITY",
            "state": "OR",
            "postal_code": "973602324",
            "telephone_number": "503-897-4100",
            "fax_number": "503-897-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 S 1ST AVE",
            "city": "MILL CITY",
            "state": "OR",
            "postal_code": "973602324",
            "telephone_number": "503-897-4100",
            "fax_number": "503-897-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGG",
        "first_name": "JOHANNAH",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OR",
            "license": "NA",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202110588NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "johannah.gregg.1@14369.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "280 S 1st Ave",
            "city": "Mill City",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973602324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Care Bridge LLC
• Emily Conley, PHARMD
• Kathleen Susanne Gamble, THW, PSS
• Tracy Gilmore, M.S.W., L.C.S.W.
• Lynn Eleanor-Johnson Gower, DO
• Jessica Leigh Grim, FNP
• Christopher Kargel, DO, MPH
• Jerry Korkow, PSS
• Krasar Inc (Mill City Pharmacy)
• Joseph Peter Lulich, FNP-C

• Family Nurse Practitioner in Mill City, OR
• Providers in Mill City, 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 Oct 26, 2021; 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.