Individual provider Active NPI

Jennifer Drayton, FNP-C

  • Family Nurse Practitioner
  • Siletz, OR
National Provider Identifier
1982030458
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201392420NP-PP Issued in OR
Practice address
200 Gwee-Shut Road
Siletz, OR 97380
Phone
(541) 444-1030
Fax
(541) 444-9695
NPI assigned
Sep 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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 201392420NP-PP OR Primary

Addresses

Primary practice location

200 Gwee-Shut Road
Siletz, OR 97380

Mailing address

PO Box 4037
Portland, OR 97208-4037

Other practice location 1

18010 SW McEwan Rd
Lake Oswego, OR 97035
Phone (503) 525-7500

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
I20140129000905 OR Practitioner - Nurse Practitioner 8325277049 Reassigns benefits to 3 organizations

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
Legacy Meridian Park HospitalGroup PAC ID 5092609842, 113 clinicians

Practice addresses (Care Compare)

18010 SW McEwan Rd
Lake Oswego, OR 97035-7868
Phone (503) 525-7500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
86.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201392420NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Medical Foundation of Tillamook Current Accepting new patients
Confederated Tribes of Siletz CurrentSince Aug 1, 2022 Accepting new patients
Confederated Tribes of Siletz CurrentSince Aug 1, 2022 Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince Aug 31, 2019 Accepting new patients
Legacy Meridian Park Hospital CurrentSince Dec 12, 2024 Accepting new patients
Legacy Meridian Park Hospital CurrentSince Dec 12, 2024 Accepting new patients
Clear Choice Dermatology Past Accepting new patients
Confederated Tribes of Siletz PastSince Nov 20, 2022 Accepting new patients

Locations

18010 SW McEwan Rd
Lake Oswego, OR 97035
Phone (503) 525-7500

1105 SE Jetty Ave
Lincoln City, OR 97367
Phone (541) 265-4947

1105 SE Jetty Ave
Ste C
Lincoln City, OR 97367
Phone (503) 965-6555

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

1000 3rd St
#M
Tillamook, OR 97141
Phone (503) 815-2260

1000 3rd St
Tillamook, OR 97141
Phone (503) 251-6129

19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212

Organizations & group practices 8

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 1

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": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1982030458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4037",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972084037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GWEE-SHUT ROAD",
            "city": "SILETZ",
            "state": "OR",
            "postal_code": "97380",
            "telephone_number": "541-444-1030",
            "fax_number": "541-444-9695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18010 SW McEwan Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Oswego",
            "state": "OR",
            "postal_code": "97035",
            "country_code": "US",
            "telephone_number": "503-525-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRAYTON",
        "first_name": "JENNIFER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201392420NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Siletz, OR

Sources for this page

Verify at the official NPI Registry.