Individual provider Active NPI

Jessica Russo

  • Clinical Social Worker
  • Hood River, OR
National Provider Identifier
1891035333
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
425 Sherman CT
Hood River, OR 97031-1054
Phone
(541) 386-2620
Fax
(541) 386-9540
NPI assigned
Feb 20, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

425 Sherman CT
Hood River, OR 97031-1054

Mailing address

425 Sherman CT
Hood River, OR 97031-1054
Phone (541) 386-2620

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160211001921 OR Practitioner - Clinical Social Worker 8123322104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Columbia Pain Management, Inc.Group PAC ID 2062595796, 16 clinicians

Practice addresses (Care Compare)

1010 10TH St
Hood River, OR 97031-1565
Phone (541) 386-9500

Merit-based Incentive Payment System (MIPS)

Final score
89.97 of 100Reported as group
Quality
100
Improvement activities
40
Cost
64.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Pain Management, Inc. CurrentSince Dec 25, 2015 Accepting new patients
Columbia Pain Management, LLC PastSince Dec 25, 2015 Accepting new patients

Locations

1010 10th St
Hood River, OR 97031
Phone (541) 386-9500

2149 Cascade Ave
Ste 106A
Hood River, OR 97031
Phone (541) 645-3505

6542 SE Lake Rd
Ste 101
Portland, OR 97222
Phone (503) 387-5546

3601 Klindt Dr
Ste 200
The Dalles, OR 97058
Phone (541) 386-9500

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": "1361318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1891035333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 SHERMAN CT",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311054",
            "telephone_number": "541-386-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 SHERMAN CT",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311054",
            "telephone_number": "541-386-2620",
            "fax_number": "541-386-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-20",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hood River, OR

Sources for this page

Verify at the official NPI Registry.