Active NPI
Jennifer E Feeney, ANP
- Family Nurse Practitioner
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 10027852
- Practice address
- 501 N Graham St Ste 550
Portland, OR 97227-2010 - Phone
- (503) 284-5220
- Fax
- (503) 284-4971
- NPI assigned
- Aug 9, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 10027852 | OR | Primary |
| Family Nurse Practitioner | 363LF0000X | 112965 | AK |
Addresses
Primary practice location
501 N Graham St Ste 550
Portland, OR 97227-2010
Mailing address
541 NE 20TH Ave Ste 225
Portland, OR 97232-2895
Phone (503) 963-2801
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95010242 | Medicaid | CA | |
| K167844 | Medicaid | AK |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cc_otoc_obgyn_north_front_desk_pool12223217@oc.providencedirect.org | The Oregon Clinic PC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
501 N Graham St
Suite 550
Portland, OR 97227-2010
Phone (503) 284-5220
5050 NE Hoyt
Suite 655
Portland, OR 97213-2990
Phone (503) 239-6673
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital OB/GYN, Inc. | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients |
Locations
2660 W Covell Blvd
Ste A
Davis, CA 95616
Phone (530) 747-3000
2660 W Covell Blvd
Davis, CA 95616
Phone (530) 747-3000
4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313
8120 Timberlake Way
Ste 201
Sacramento, CA 95823
Phone (916) 525-0620
4860 Y St
Ste 2500
Sacramento, CA 95817
Phone (916) 734-6930
77 Cadillac Dr
Ste 230
Sacramento, CA 95825
Phone (916) 920-2082
2521 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-1104
Interoperability endpoints
- jfeeney3460736@oc.providencedirect.org
Organizations & group practices 7
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.
-
- Specialist
- Portland, OR
- NPI 1265417174
-
- Obstetrics & Gynecology Physician
- Sacramento, CA
- NPI 1730136680
-
- Maternal & Fetal Medicine Physician
- Sacramento, CA
- NPI 1013906973
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1952998973
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1477546406
-
- Reproductive Endocrinology Physician
- Sacramento, CA
- NPI 1992798912
-
- Multi-Specialty Clinic/Center
- Davis, CA
- NPI 1912987553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1992259709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "541 NE 20TH AVE STE 225",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322895",
"telephone_number": "503-963-2801",
"fax_number": "503-963-2825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N GRAHAM ST STE 550",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972272010",
"telephone_number": "503-284-5220",
"fax_number": "503-284-4971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEENEY",
"first_name": "JENNIFER",
"middle_name": "E",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-09",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "10027852",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AK",
"license": "112965",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "95010242",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "K167844",
"state": "AK"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cc_otoc_obgyn_north_front_desk_pool12223217@oc.providencedirect.org",
"affiliation": "Y",
"affiliationName": "The Oregon Clinic PC",
"address_1": "501 N Graham St Ste 550",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972272010",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.