Individual provider Active NPI

Jessica Skinner, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • McMinnville, OR
National Provider Identifier
1871479782
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10049078 Issued in OR
Practice address
2700 SE Stratus Ave
McMinnville, OR 97128-6239
Phone
(503) 472-6131
NPI assigned
Aug 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10049078 OR Primary

Addresses

Primary practice location

2700 SE Stratus Ave
McMinnville, OR 97128-6239

Mailing address

12511 Goldleaf Dr
Little Rock, AR 72210-4728
Phone (870) 225-0433

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
I20251003003937 OR Practitioner - Nurse Practitioner 3870099104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Willamette Valley Clinics LLCGroup PAC ID 6103729314, 39 clinicians

Practice addresses (Care Compare)

2700 SE Stratus Ave
McMinnville, OR 97128-6255
Phone (503) 435-6441

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizons Mental Health LLC Psychiatric/Mental Health Current Accepting new patients
Willamette Valley Clinics LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

2700 SE Stratus Ave
Unit 402
McMinnville, OR 97128
Phone (503) 434-1110

2700 SE Stratus Ave
Unit 302
McMinnville, OR 97128
Phone (503) 474-2565

2700 SE Stratus Ave
McMinnville, OR 97128
Phone (503) 435-1200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1871479782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12511 GOLDLEAF DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722104728",
            "telephone_number": "870-225-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 SE STRATUS AVE",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971286239",
            "telephone_number": "503-472-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "JESSICA",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10049078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, OR

Sources for this page

Verify at the official NPI Registry.