Individual provider Active NPI

Jill Testerman, FNP

  • Family Nurse Practitioner
  • The Dalles, OR
National Provider Identifier
1891174546
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201407295NP-PP Issued in OR
Practice address
1040 Webber St
The Dalles, OR 97058-3749
Phone
(541) 386-6380
NPI assigned
May 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN60578716 WA
Nurse Practitioner 363L00000X 132704 MT
Nurse Practitioner 363L00000X AP60578720 WA
Family Nurse Practitioner 363LF0000X 201407295NP-PP OR Primary

Addresses

Primary practice location

1040 Webber St
The Dalles, OR 97058-3749

Mailing address

1040 Webber St
The Dalles, OR 97058-3749
Phone (541) 386-6380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, MT, TX, OR4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20180618001961 WY Practitioner - Nurse Practitioner 6204144629
I20190109000351 MT Practitioner - Nurse Practitioner 6204144629 Reassigns benefits to 1 organization
I20210112000090 TX Practitioner - Nurse Practitioner 6204144629 Reassigns benefits to 1 organization
I20220228001960 OR Practitioner - Nurse Practitioner 6204144629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Community HealthGroup PAC ID 6305759283, 51 clinicians

Practice addresses (Care Compare)

1010 Webber St
The Dalles, OR 97058-3749
Phone (541) 296-4610

1040 Webber St
The Dalles, OR 97058-3749
Phone (541) 296-4610

849 Pacific Ave
Hood River, OR 97031-1956
Phone (541) 386-6380

Hospital & facility affiliations

  • Mid-Columbia Medical Center Hospital, The Dalles, OR, CCN 380001
  • Providence Hood River Memorial Hospital Hospital, Hood River, OR, CCN 381318

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1736WYMDGeneral Practice Physician
132704MTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
One Community Health CurrentSince Jan 1, 2022 Accepting new patients
Thoreau Clinic CurrentSince Nov 30, 2020 Accepting new patients
Pueblo Pintado Clinic Current Accepting new patients
Bozeman Health Deaconess Hospital CurrentSince Nov 1, 2018 Accepting new patients
DHHS PHS Naihs Crownpoint Hospital CurrentSince Nov 30, 2020 Accepting new patients
One Community Health CurrentSince Jan 1, 2022 Accepting new patients
Bozeman Health Deaconess Hospital CurrentSince Nov 1, 2018 Accepting new patients
Bozeman Health Deaconess Hospital Current Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

206 Alaska Frontage Rd
Belgrade, MT 59714
Phone (406) 414-3334

1805 Oak St
Ste 3
Bozeman, MT 59715
Phone (406) 414-4890

1006 W Main St
Bozeman, MT 59715
Phone (406) 414-4800

925 Highland Blvd
Ste 1220
Bozeman, MT 59715
Phone (406) 414-3780

849 Pacific Ave
Hood River, OR 97031
Phone (541) 386-6380

1040 Webber St
The Dalles, OR 97058
Phone (541) 296-4610

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1432771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1891174546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 WEBBER ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583749",
            "telephone_number": "541-386-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 WEBBER ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583749",
            "telephone_number": "541-386-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESTERMAN",
        "first_name": "JILL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-28",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "RN60578716",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MT",
            "license": "132704",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60578720",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201407295NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Dalles, OR

Sources for this page

Verify at the official NPI Registry.