Individual provider Active NPI

Jerusha Latteri, ARNP

  • Gerontology Nurse Practitioner
  • Hermiston, OR
National Provider Identifier
1831795996
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
202101519NP-PP Issued in OR
Practice address
600 NW 11TH St Ste E23
Hermiston, OR 97838-8603
Phone
(541) 667-3661
Fax
(541) 275-8796
NPI assigned
Dec 4, 2020
Last updated
Jun 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 202101519NP-PP OR
Gerontology Nurse Practitioner 363LG0600X 202101519NP-PP OR Primary

Addresses

Primary practice location

600 NW 11TH St Ste E23
Hermiston, OR 97838-8603

Mailing address

600 NW 11TH St Ste E23
Hermiston, OR 97838-8603
Phone (541) 667-3661

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
I20220124000758 OR Practitioner - Nurse Practitioner 8820404502 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
Telehealth
Offers telehealth services
Group practices
Good Shepherd Health Care SystemGroup PAC ID 9133033764, 125 clinicians

Practice addresses (Care Compare)

600 NW 11TH St
Hermiston, OR 97838-8604
Phone (541) 667-3400

610 NW 11TH St
Hermiston, OR 97838-6601
Phone (541) 667-3400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Good Shepherd Health Care System CurrentSince Aug 31, 2024 Accepting new patients
Good Shepherd Health Care System CurrentSince Aug 31, 2024 Accepting new patients

Locations

1050 W Elm Ave
Ste 110
Hermiston, OR 97838
Phone (541) 564-6411

1050 W Elm Ave
Ste 160
Hermiston, OR 97838
Phone (509) 943-5580

600 NW 11th St
Ste E10
Hermiston, OR 97838
Phone (541) 667-2420

600 NW 11th St
Ste E23
Hermiston, OR 97838
Phone (509) 942-3272

600 NW 11th St
Ste E37
Hermiston, OR 97838
Phone (541) 567-5305

610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400

Interoperability endpoints

  • Direct secure messaging: jlatteri1169825@wm.providencedirect.org
  • Direct secure messaging: jlatteri1512808@direct.lhs.org

Organizations & group practices 2

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 8

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": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1831795996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NW 11TH ST STE E23",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978388603",
            "telephone_number": "541-667-3661",
            "fax_number": "541-275-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NW 11TH ST STE E23",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978388603",
            "telephone_number": "541-667-3661",
            "fax_number": "541-275-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATTERI",
        "first_name": "JERUSHA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-04",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "202101519NP-PP",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OR",
            "license": "202101519NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermiston, OR

Sources for this page

Verify at the official NPI Registry.