Individual provider Active NPI

Jacquenette Jocelyn Chambers, DNP, ACNS-BC

  • Acute Care Clinical Nurse Specialist
  • Beaverton, OR
National Provider Identifier
1861799009
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Clinical Nurse SpecialistTaxonomy code 364SA2100X
License
201604088 Issued in OR
Practice address
6800 SW 105TH Ave
Beaverton, OR 97008-5468
Phone
(503) 430-1777
NPI assigned
Feb 24, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Clinical Nurse Specialist 364SA2100X 201604088 OR Primary
Acute Care Clinical Nurse Specialist 364SA2100X 594010 TX
Acute Care Clinical Nurse Specialist 364SA2100X AP60696281 WA

Addresses

Primary practice location

6800 SW 105TH Ave
Beaverton, OR 97008-5468

Mailing address

15141 SW Landon LN
Beaverton, OR 97006-7128
Phone (971) 463-7700

Other practice location 1

1791 NW 173rd Ave
Beaverton, OR 97006-5630
Phone (971) 463-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201604088ORMDAcute Care Clinical Nurse Specialist
594010TXMDAcute Care Clinical Nurse Specialist
AP60696281WAMDAcute Care Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Cascadia Health CurrentSince Dec 2, 2024 Accepting new patients
Cascadia Health CurrentSince Dec 2, 2024 Accepting new patients
Impact Physician Group, LLC CurrentSince Oct 1, 2024 Accepting new patients
CRM Physicians, LLC Acute Care CurrentSince Jun 1, 2026 Accepting new patients
Cascadia Health Past Accepting new patients

Locations

21 Eastbrook Bnd
Ste 218
Peachtree Cty, GA 30269
Phone (260) 407-8007

6800 SW 105th Ave
Beaverton, OR 97008

12360 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 303-4000

10373 NE Hancock St
Ste 125
Portland, OR 97220
Phone (503) 253-6754

4212 SE Division St
Ste 100
Portland, OR 97206
Phone (503) 238-0705

10300 NE Hancock St
Portland, OR 97220
Phone (503) 257-5500

707 NW Everett St
Portland, OR 97209
Phone (503) 222-4906

3036 NE Mlk Jr Blvd
Portland, OR 97212
Phone (503) 283-3763

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1861799009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15141 SW LANDON LN",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067128",
            "telephone_number": "971-463-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 SW 105TH AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970085468",
            "telephone_number": "503-430-1777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1791 NW 173rd Ave",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970065630",
            "country_code": "US",
            "telephone_number": "971-463-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "JACQUENETTE",
        "middle_name": "JOCELYN",
        "name_prefix": "Dr.",
        "credential": "DNP, ACNS-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-24",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "OR",
            "license": "201604088",
            "primary": true
        },
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "TX",
            "license": "594010",
            "primary": false
        },
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "WA",
            "license": "AP60696281",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.