Individual provider Active NPI

Jessica R Ortiz, FNP-BC

  • Family Nurse Practitioner
  • Hood River, OR
National Provider Identifier
1902315922
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10002470 Issued in OR
Practice address
849 Pacific Ave
Hood River, OR 97031-1956
Phone
(541) 386-6380
NPI assigned
Sep 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0993320 CO
Family Nurse Practitioner 363LF0000X 10002470 OR Primary

Addresses

Primary practice location

849 Pacific Ave
Hood River, OR 97031-1956

Mailing address

3800 N York St
Denver, CO 80205-3540
Phone (303) 296-1767

Other names 1

  • Jessica R Pinnock Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, OR2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20171128000779 CO Practitioner - Nurse Practitioner 2365709458 Reassigns benefits to 1 organization
I20230208002983 OR Practitioner - Nurse Practitioner 2365709458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0993320COMDFamily Nurse Practitioner
10002470ORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
One Community Health CurrentSince Feb 15, 2023 Accepting new patients
One Community Health CurrentSince Feb 15, 2023 Accepting new patients
Inner City Health Center CurrentSince Aug 21, 2017 Accepting new patients
Inner City Health Center CurrentSince Aug 21, 2017 Accepting new patients
One Community Health Current Accepting new patients
Mountain Family Health Centers PastSince Feb 7, 2021 Accepting new patients

Locations

3800 N York St
Denver, CO 80205
Phone (303) 296-1767

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

Organizations & group practices 6

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": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1902315922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 N YORK ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802053540",
            "telephone_number": "303-296-1767",
            "fax_number": "303-296-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 PACIFIC AVE",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311956",
            "telephone_number": "541-386-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "JESSICA",
        "middle_name": "R",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-21",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0993320",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10002470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "PINNOCK",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hood River, OR

Sources for this page

Verify at the official NPI Registry.