Individual provider Active NPI

Jodie Anne Hall, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Salem, OR
National Provider Identifier
1801467261
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
202010835NP-PP Issued in OR
Practice address
875 Oak St SE Ste 4030
Salem, OR 97301-3984
Phone
(503) 561-6444
Fax
(503) 561-6440
NPI assigned
Jul 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X N261191889 WA
Acute Care Nurse Practitioner 363LA2100X 202010835NP-PP OR Primary

Addresses

Primary practice location

875 Oak St SE Ste 4030
Salem, OR 97301-3984

Mailing address

875 Oak St SE Ste 4030
Salem, OR 97301-3984
Phone (503) 561-6444

Other practice location 1

5933 NE Win Sivers Dr Ste 310
Portland, OR 97220-9106
Phone (503) 420-5852

Other practice location 2

2035 SW 198th Avenue
Aloha, OR 97003
Phone (503) 453-3426

Other practice location 3

400 NE Mother Joseph Pl
Vancouver, WA 98664-3200
Phone (360) 514-1778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20230515002894 OR Practitioner - Nurse Practitioner 8921406083 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oregon Oncology Specialists LLPGroup PAC ID 3971576240, 41 clinicians

Practice addresses (Care Compare)

875 Oak St SE
Suite 4030
Salem, OR 97301-3984
Phone (503) 561-6444

Hospital & facility affiliations

  • Salem Hospital Hospital, Salem, OR, CCN 380051
  • Salem Health West Valley Hospital, Dallas, OR, CCN 381308
  • Santiam Hospital & Clinics Hospital, Stayton, OR, CCN 380056

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N261191889WAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Oncology Specialists, LLP CurrentSince Sep 30, 2024 Accepting new patients
Landmark Medical of Oregon PC CurrentSince Apr 17, 2023 Accepting new patients
Oregon Oncology Specialists, LLP CurrentSince Sep 30, 2024 Accepting new patients
Landmark Connect of Oregon PC PastSince Apr 16, 2023 Accepting new patients

Locations

7755 Center Ave
Ste 630
Huntington Beach, CA 92647
Phone (877) 240-3112

5933 NE Win Sivers Dr
Ste 305
Portland, OR 97220
Phone (503) 420-5852

875 Oak St SE
Salem, OR 97301
Phone (503) 561-5719

875 Oak St SE
Ste 4030
Salem, OR 97301

Interoperability endpoints

  • Direct secure messaging: jhall396285@direct.salemhealth.org
  • Direct secure messaging: ms_jhall207@landmarkhealth-direct.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 4

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": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1801467261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 OAK ST SE STE 4030",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013984",
            "telephone_number": "503-561-6444",
            "fax_number": "503-561-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 OAK ST SE STE 4030",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013984",
            "telephone_number": "503-561-6444",
            "fax_number": "503-561-6440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5933 NE Win Sivers Dr Ste 310",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972209106",
            "country_code": "US",
            "telephone_number": "503-420-5852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2035 SW 198th Avenue",
            "address_purpose": "LOCATION",
            "city": "Aloha",
            "state": "OR",
            "postal_code": "97003",
            "country_code": "US",
            "telephone_number": "503-453-3426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 NE Mother Joseph Pl",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986643200",
            "country_code": "US",
            "telephone_number": "360-514-1778",
            "fax_number": "360-696-5038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "JODIE",
        "middle_name": "ANNE",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WA",
            "license": "N261191889",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OR",
            "license": "202010835NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.