NPIMap

Individual provider Active NPI

Jordan Gilland

  • Nurse Practitioner
  • Depoe Bay, OR
National Provider Identifier
1831840693
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10022974 Issued in OR
Practice address
531 N Highway 101 Ste a
Depoe Bay, OR 97341-9572
Phone
(541) 765-3265
NPI assigned
Jan 13, 2022
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 257310 TN
Nurse Practitioner 363L00000X 10022974 OR Primary
Family Nurse Practitioner 363LF0000X 33026 TN

Addresses

Primary practice location

531 N Highway 101 Ste a
Depoe Bay, OR 97341-9572

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other practice location 1

6690 Nolensville Rd
Brentwood, TN 37027-8803
Phone (270) 703-2383

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jgilland299559@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, OR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230120002662 TN Practitioner - Nurse Practitioner 6103297551 Reassigns benefits to 1 organization
I20240731001357 OR Practitioner - Nurse Practitioner 6103297551 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samaritan Pacific Health Services IncGroup PAC ID 2466353529, shared by 7 NPIs, 86 clinicians

Practice addresses (Care Compare)

531 N Hwy 101
Depoe Bay, OR 97341-9572
Phone (541) 765-3265

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
86.36

Merit-based Incentive Payment System (MIPS)

Final score
85.88 of 100Reported as group
Quality
71.04
Promoting interoperability
100
Improvement activities
40
Cost
81.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
257310TNMDRegistered Nurse
10022974ORMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Pacific Health Services, Inc CurrentSince Aug 1, 2024 Accepting new patients
Samaritan Pacific Health Services, Inc. Current Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince Jan 5, 2023 Accepting new patients
Samaritan Pacific Health Services Inc CurrentSince Aug 1, 2024 Accepting new patients
Samaritan Pacific Health Services, Inc Current Accepting new patients

Locations

815 NW 9th St
Ste 215
Corvallis, OR 97330
Phone (541) 768-1888

531 N Highway 101
#A
Depoe Bay, OR 97341
Phone (541) 765-3265

930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244

210 Franklin Rd
Ste 100
Brentwood, TN 37027
Phone (615) 373-8957

6690 Nolensville Rd
Brentwood, TN 37027
Phone (615) 927-8493

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

Interoperability endpoints

  • Direct secure messaging: jgilland299559@samhealth.direct-ci.com

Organizations & group practices 5

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 60

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

View all 60

NPI Registry JSON

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1831840693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 N HIGHWAY 101 STE A",
            "city": "DEPOE BAY",
            "state": "OR",
            "postal_code": "973419572",
            "telephone_number": "541-765-3265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6690 Nolensville Rd",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370278803",
            "country_code": "US",
            "telephone_number": "270-703-2383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLAND",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "257310",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "10022974",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "33026",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgilland299559@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "531 N Highway 101 Ste A",
            "city": "Depoe Bay",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973419572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Depoe Bay, OR

Sources for this page

Verify at the official NPI Registry.