Jess Calohan, DNP, PMHNP-BC, FAAN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Shelton, WA
NPI 1992813679 · NPPES record last updated Jan 11, 2023
Key facts
- NPI
- 1992813679
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- AP30007053 (WA)
- Practice address
- 1701 N 13TH St
Shelton, WA 98584-2077 - Phone
- (360) 358-3690
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 27
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lewis County Hospital District No 1
Public Hospital District No 1 of Mason County
Mid-Delta Health Systems Inc
Jamestown S'Klallam Tribe
Practice addresses (Care Compare)
108 Kindle Rd
Randle, WA 98377-9209
Phone (360) 497-3333
237 Professional Way
Shelton, WA 98584-4404
Phone (360) 426-2500
245 Madison St
Clarendon, AR 72029-2706
Phone (870) 747-3381
521 Adams Ave
Morton, WA 98356-9323
531 Adams Ave
Morton, WA 98356-9323
745 Williams St
Mossyrock, WA 98564-9004
Phone (360) 983-8990
808 N 5TH Ave
Sequim, WA 98382-3045
Phone (360) 683-5900
Hospital & facility affiliations
- Mason General Hospital & Family of Clinics
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WA, AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160803002978 | WA | Practitioner - Nurse Practitioner | 4981998648 | Reassigns benefits to 4 organizations |
| I20221005002400 | AR | Practitioner - Nurse Practitioner | 4981998648 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30007053 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lewis County Hospital District No. 1 | Current |
Accepting new patients | |
| Mid-Delta Health Systems, Inc. | Current |
Accepting new patients | |
| Public Hospital District No 1 of Mason County Wa | Current |
Accepting new patients | |
| Jamestown S'Klallam Tribe | Current |
Accepting new patients | |
| Lewis County Hospital District No. 1 | Current | Accepting new patients | |
| Jamestown S'Klallam Tribe | Current |
Accepting new patients | |
| Public Hospital District No 1 of Mason County | Current |
Accepting new patients | |
| Lewis County Hospital District No. 1 | Current |
Accepting new patients | |
| Public Hospital District No 1 of Mason County | Current |
Accepting new patients | |
| Mid-Delta Health Systems Inc | Current |
Accepting new patients | |
| Lewis County Hospital District No. 1 | Current | Accepting new patients | |
| Lewis County Hospital District No 1 | Past | Accepting new patients | |
| Lewis County Hospital District No 1 | Past | Accepting new patients |
Locations
401 Midland St
Clarendon, AR 72029
Phone (870) 474-3381
245 Madison St
Clarendon, AR 72029
Phone (870) 747-1400
1940 S Whitehead Dr
Dewitt, AR 72042
Phone (870) 946-4505
108 Kindle Rd
Randle, WA 98377
Phone (360) 497-3333
526 S 9th Ave
Sequim, WA 98382
Phone (360) 681-7755
808 N 5th Ave
Sequim, WA 98382
Phone (360) 582-4840
221 Professional Way
Shelton, WA 98584
Phone (360) 426-0121
939 Mountain View Dr
Ste 100
Shelton, WA 98584
Phone (360) 426-2653
901 Mountain View Dr
Shelton, WA 98584
Phone (360) 426-1611
1701 N 13th St
Shelton, WA 98584
Phone (360) 426-2653
1710 N 13th Loop Rd
Shelton, WA 98584
Phone (360) 426-4142
237 Professional Way
Shelton, WA 98584
Phone (360) 426-2500
Interoperability endpoints
- jcalohan1037997@wm.providencedirect.org
- jess.calohan.p1@direct.lower-elwha-klallam.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP30007053 | WA | Yes |
Addresses
Primary practice location
1701 N 13TH St
Shelton, WA 98584-2077
Mailing address
2 Arnold Palmer
San Antonio, TX 78257-1722
Phone (509) 280-4070
Other practice location 1
245 Madison St
Clarendon, AR 72029-2706
Phone (870) 747-3381
Other providers in Shelton, WA
- William J Busacca
- Andrea F Buser
- Jessica Ann Butler
- John Butler
- Natalie Caroline Callely
- Ella Kathryn Cameron
- Brianna Josephine Campbell
- Cheryl Deane Campbell
- Lumen Francia Campos
- Nix Cannady
All providers in Shelton, WA · Psychiatric/Mental Health Nurse Practitioner in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.