NPIMap

Individual provider Active NPI

Jordan Joseph Nagle, M.D.

  • Family Medicine Physician
  • White Salmon, WA
National Provider Identifier
1982012324
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD185248 Issued in OR
Practice address
211 NE Skyline Dr
White Salmon, WA 98672-1948
Phone
(509) 493-1101
Fax
(509) 493-2838
NPI assigned
Jul 29, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X MD185248 OR Primary

Addresses

Primary practice location

211 NE Skyline Dr
White Salmon, WA 98672-1948

Mailing address

PO Box 99
White Salmon, WA 98672-0099
Phone (509) 493-1101

Other practice location 1

1620 E 12th St
The Dalles, OR 97058-3213
Phone (541) 296-9151

Other practice location 2

275 Nichols Rd
Fitchburg, MA 01420-1919
Phone (978) 343-5271

Other practice location 3

1700 E 19th St
The Dalles, OR 97058-3317
Phone (541) 296-1111

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL jordan.nagle@skyline.cernerdirect.com
CONNECT URL jordan.nagle@skyline.cernerdirect.com

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220829003370 WA Practitioner - Family Practice 7113225020 Reassigns benefits to 3 organizations
I20220926002592 OR Practitioner - Family Practice 7113225020 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Public Hospital District No. 2, Klickitat County, WashingtonGroup PAC ID 4981592144, shared by 4 NPIs, 40 clinicians
CRM Physicians LLCGroup PAC ID 3678720729, 59 clinicians

Practice addresses (Care Compare)

211 NE Skyline Dr
White Salmon, WA 98672-1948
Phone (509) 493-1101

415 SE 177TH Ave
Vancouver, WA 98683-4201
Phone (503) 430-1777

6800 SW 105TH Ave
Beaverton, OR 97008-5468
Phone (503) 430-1777

Hospital & facility affiliations

  • Bristol Hospice - Snohomish County Hospice, Lynnwood, WA, CCN 501559
  • Bristol Hospice- Rogue Valley, LLC Hospice, Grants Pass, OR, CCN 381572
  • Bristol Hospice Oregon LLC Hospice, Clackamas, OR, CCN 381559
  • Bristol Hospice - Bend, LLC Hospice, Bend, OR, CCN 381578
  • Bristol Hospice - Pierce, LLC Hospice, Tacoma, WA, CCN 501562
  • Skyline Hospital Hospital, White Salmon, WA, CCN 501315
  • The Dalles Health and Rehabilitation Nursing home, The Dalles, OR, CCN 385172
  • Royale Gardens Health & Rehabilitation Center Nursing home, Grants Pass, OR, CCN 385148
  • Skyline Hospital Nursing home, CCN 50Z315

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD185248ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White River Health District Family Medicine CurrentSince Aug 1, 2022 Accepting new patients
Public Hospital District No 2, Klickitat County Washington CurrentSince May 1, 2022 Accepting new patients
CRM Physicians, LLC Family Medicine CurrentSince Jan 1, 2024 Accepting new patients
Public Hospital District No 2, Klickitat County, Washington CurrentSince May 1, 2022 Accepting new patients
Public Hospital District No. 2, Klickitat County, Washington Current Accepting new patients
Bristol Hospice - Pierce, L.L.C. Family Medicine PastSince Feb 19, 2025 Accepting new patients

Locations

6800 SW 105th Ave
Ste 206
Beaverton, OR 97008

6800 SW 105th Ave
Beaverton, OR 97008

650 SE Oak St
Hillsboro, OR 97123
Phone (503) 648-8588

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

801 SE Park Crest Ave
Vancouver, WA 98683
Phone (360) 253-2879

212 NE Skyline Dr
White Salmon, WA 98672
Phone (509) 493-2133

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ac6e817f-dc27-43e8-b886-6559f137e853/

Ownership & related parties

All facility ownership & control disclosures 7

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

FacilityTypeRoleSince
The Dalles Health & Rehabilitation CenterThe Dalles, OR, CCN 385172 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 31, 2023
Aug 31, 2023
Bristol Hospice - Oregon LLCClackamas, OR, CCN 381559 Hospice Contracted Managing Employee Mar 4, 2025
Bristol HospiceHood River, OR, CCN 381554 Hospice Contracted Managing Employee Feb 14, 2024
Bristol Hospice - Rogue Valley LLCGrants Pass, OR, CCN 381572 Hospice Contracted Managing Employee May 6, 2025
Bristol Hospice - Bend, L.L.C.Bend, OR, CCN 381578 Hospice Contracted Managing Employee Jan 28, 2025
Bristol Hospice - Snohomish CountyEverett, WA, CCN 501559 Hospice Contracted Managing Employee Aug 13, 2024
Bristol Hospice - Pierce LLCTacoma, WA, CCN 501562 Hospice Contracted Managing Employee Feb 19, 2025

Owned or controlled facilities with NPI records 7

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

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.

Hospital & facility affiliations 9

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": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1982012324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "986720099",
            "telephone_number": "509-493-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 NE SKYLINE DR",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "986721948",
            "telephone_number": "509-493-1101",
            "fax_number": "509-493-2838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1620 E 12th St",
            "address_purpose": "LOCATION",
            "city": "The Dalles",
            "state": "OR",
            "postal_code": "970583213",
            "country_code": "US",
            "telephone_number": "541-296-9151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "275 Nichols Rd",
            "address_purpose": "LOCATION",
            "city": "Fitchburg",
            "state": "MA",
            "postal_code": "014201919",
            "country_code": "US",
            "telephone_number": "978-343-5271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 E 19th St",
            "address_purpose": "LOCATION",
            "city": "The Dalles",
            "state": "OR",
            "postal_code": "970583317",
            "country_code": "US",
            "telephone_number": "541-296-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAGLE",
        "first_name": "JORDAN",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-29",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD185248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jordan.nagle@skyline.cernerdirect.com",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "211 NE Skyline Dr",
            "city": "White Salmon",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986721948",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jordan.nagle@skyline.cernerdirect.com",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "211 NE Skyline Dr",
            "city": "White Salmon",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986721948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in White Salmon, WA

Sources for this page

Verify at the official NPI Registry.