Individual provider Active NPI

Jennifer R Pierce, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Talent, OR
National Provider Identifier
1952553687
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
MD197245 Issued in OR
Practice address
209 N Pacific Hwy
Talent, OR 97540-9634
Phone
(541) 789-5005
Fax
(541) 789-5239
NPI assigned
Oct 14, 2008
Last updated
Apr 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 49249 CO
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X MD197245 OR Primary

Addresses

Primary practice location

209 N Pacific Hwy
Talent, OR 97540-9634

Mailing address

209 N Pacific Hwy
Talent, OR 97540-9634
Phone (541) 789-5005

Other identifiers 1

IdentifierTypeStateIssuer
MD197246OtherOROREGON MEDICAL BOARD

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240216003462 OR Order and Referring Only - Hospice/Palliative CarePractitioner - Hospice/Palliative Care 2961697859

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
49249COMDInternal Medicine Physician
MD197245ORMDHospice and Palliative Medicine (Internal Medicine) Physician

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Asante Rogue Regional Medical Center Hospice ServicesTalent, OR, CCN 381527 Hospice W-2 Managing Employee Aug 24, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1952553687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 N PACIFIC HWY",
            "city": "TALENT",
            "state": "OR",
            "postal_code": "975409634",
            "telephone_number": "541-789-5005",
            "fax_number": "541-789-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N PACIFIC HWY",
            "city": "TALENT",
            "state": "OR",
            "postal_code": "975409634",
            "telephone_number": "541-789-5005",
            "fax_number": "541-789-5239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-14",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "49249",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "OR",
            "license": "MD197245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON MEDICAL BOARD",
            "identifier": "MD197246",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Talent, OR

Sources for this page

Verify at the official NPI Registry.