Individual provider Active NPI

Jennifer Lombardi, FNP-BC

  • Family Nurse Practitioner
  • Maupin, OR
National Provider Identifier
1902443096
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
44908 Issued in WY
Practice address
1605 George Jackson Rd
Maupin, OR 97037-9208
Phone
(541) 395-2911
Fax
(541) 395-2912
NPI assigned
Dec 8, 2019
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 44908 WY Primary

Addresses

Primary practice location

1605 George Jackson Rd
Maupin, OR 97037-9208

Mailing address

PO Box 219
Maupin, OR 97037-0219
Phone (541) 395-2911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200117001029 WY Practitioner - Nurse Practitioner 2567897622 Reassigns benefits to 2 organizations
I20251210001103 OR Practitioner - Family Practice 2567897622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White River Health DistrictGroup PAC ID 0244321305, 3 clinicians
Legacy Primary Care PLLCGroup PAC ID 5799223491, 16 clinicians

Practice addresses (Care Compare)

1605 George Jackson Rd
Maupin, OR 97037-9208
Phone (541) 395-2911

4010 N College Dr
Suite 1
Cheyenne, WY 82001-1960
Phone (701) 516-4637

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.23 of 100Reported as group
Quality
81.84
Promoting interoperability
98
Improvement activities
40
Cost
70.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Care United Medical Center of Laramie, LLC CurrentSince Nov 27, 2019 Accepting new patients
Legacy Primary Care PLLC CurrentSince Nov 1, 2024 Accepting new patients
White River Health District CurrentSince Dec 1, 2025 Accepting new patients
Caring Edge Op LLC PastSince Nov 1, 2018 Accepting new patients

Locations

1605 George Jackson Rd
Maupin, OR 97037
Phone (541) 395-2636

1919 Central Ave
Cheyenne, WY 82001
Phone (307) 514-9888

3810 E Grand Ave
Laramie, WY 82070
Phone (307) 721-1794

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1575763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1902443096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219",
            "city": "MAUPIN",
            "state": "OR",
            "postal_code": "970370219",
            "telephone_number": "541-395-2911",
            "fax_number": "541-395-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 GEORGE JACKSON RD",
            "city": "MAUPIN",
            "state": "OR",
            "postal_code": "970379208",
            "telephone_number": "541-395-2911",
            "fax_number": "541-395-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMBARDI",
        "first_name": "JENNIFER",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-08",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "44908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maupin, OR

Sources for this page

Verify at the official NPI Registry.