Individual provider Active NPI

Jennifer Joe-Anne Marks, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Central Point, OR
National Provider Identifier
1972928034
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
201401611NP-PP Issued in OR
Practice address
312 Oak St. Ste #205
Central Point, OR 97502
Phone
(541) 299-0390
Fax
(541) 299-0562
NPI assigned
Feb 26, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 201401611NP-PP OR
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 200741772RN OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 201401611NP-PP OR Primary

Addresses

Primary practice location

312 Oak St. Ste #205
Central Point, OR 97502

Mailing address

312 Oak St. Ste #205
Central Point, OR 97502
Phone (541) 299-0390

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160713002489 OR Practitioner - Nurse Practitioner 3971895863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oregon Behavioral Health Group LLCGroup PAC ID 6103235809, 4 clinicians

Practice addresses (Care Compare)

312 Oak St
Suite 205
Central Point, OR 97502-2542
Phone (541) 727-7787

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200741772RNORMDChild & Adolescent Psychiatric/Mental Health Registered Nurse
201401611NP-PPORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Behavioral Health Group LLC Psychiatric/Mental Health CurrentSince Apr 1, 2021 Accepting new patients

Locations

312 Oak St
Ste 205
Central Point, OR 97502
Phone (541) 499-0344

Organizations & group practices 1

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": "1393372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1972928034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 OAK ST. STE #205",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "97502",
            "telephone_number": "541-299-0390",
            "fax_number": "541-299-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 OAK ST. STE #205",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "97502",
            "telephone_number": "541-299-0390",
            "fax_number": "541-299-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "JENNIFER",
        "middle_name": "JOE-ANNE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-26",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "OR",
            "license": "201401611NP-PP",
            "primary": false
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "OR",
            "license": "200741772RN",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201401611NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Point, OR

Sources for this page

Verify at the official NPI Registry.