Individual provider Active NPI

Jess Calohan, DNP, PMHNP-BC, FAAN

  • Psychiatric/Mental Health Nurse Practitioner
  • Shelton, WA
National Provider Identifier
1992813679
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP30007053 Issued in WA
Practice address
1701 N 13TH St
Shelton, WA 98584-2077
Phone
(360) 358-3690
NPI assigned
Aug 25, 2006
Last updated
Jan 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP30007053 WA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160803002978 WA Practitioner - Nurse Practitioner 4981998648 Reassigns benefits to 4 organizations
I20221005002400 AR Practitioner - Nurse Practitioner 4981998648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Delta Health Systems IncGroup PAC ID 3870574668, 11 clinicians
Jamestown S'Klallam TribeGroup PAC ID 2365349495, 38 clinicians

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jamestown S'Klallam Tribe CurrentSince Oct 15, 2020 Accepting new patients
Lewis County Hospital District No. 1 Current Accepting new patients
Mid-Delta Health Systems Inc CurrentSince Aug 1, 2022 Accepting new patients
Public Hospital District No 1 of Mason County CurrentSince May 16, 2017 Accepting new patients
Public Hospital District No 1 of Mason County Wa CurrentSince May 16, 2017 Accepting new patients
Lewis County Hospital District No. 1 CurrentSince Dec 1, 2018 Accepting new patients
Lewis County Hospital District No. 1 CurrentSince Dec 1, 2018 Accepting new patients
Jamestown S'Klallam Tribe CurrentSince Oct 15, 2020 Accepting new patients
Mid-Delta Health Systems, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Public Hospital District No 1 of Mason County CurrentSince Jan 27, 2026 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

245 Madison St
Clarendon, AR 72029
Phone (870) 747-1400

401 Midland St
Clarendon, AR 72029
Phone (870) 474-3381

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

1701 N 13th St
Shelton, WA 98584
Phone (360) 426-2653

1710 N 13th Loop Rd
Shelton, WA 98584
Phone (360) 426-4142

221 Professional Way
Shelton, WA 98584
Phone (360) 426-0121

237 Professional Way
Shelton, WA 98584
Phone (360) 426-2500

901 Mountain View Dr
Shelton, WA 98584
Phone (360) 426-1611

939 Mountain View Dr
Ste 100
Shelton, WA 98584
Phone (360) 426-2653

Interoperability endpoints

  • Direct secure messaging: jcalohan1037997@wm.providencedirect.org
  • Direct secure messaging: jess.calohan.p1@direct.lower-elwha-klallam.nextgenshare.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 5

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1992813679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ARNOLD PALMER",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571722",
            "telephone_number": "509-280-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N 13TH ST",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985842077",
            "telephone_number": "360-358-3690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 Madison St",
            "address_purpose": "LOCATION",
            "city": "Clarendon",
            "state": "AR",
            "postal_code": "720292706",
            "country_code": "US",
            "telephone_number": "870-747-3381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALOHAN",
        "first_name": "JESS",
        "credential": "DNP, PMHNP-BC, FAAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP30007053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, WA

Sources for this page

Verify at the official NPI Registry.