HOLLY P JASTAK RN, MSN, FNP
NPI 1023541869
Nurse Practitioner - Family in Portland, OR

Q: What is Holly Jastak's NPI number?

The NPI number for Holly Jastak is 1023541869. It was assigned to this individual provider in the NPPES registry on April 8, 2017.

Q: What is Holly Jastak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Holly Jastak was last updated on April 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 08, 2017PECOS Enrolled

2800 N VANCOUVER AVE STE 165, PORTLAND, OR 97227(503) 413-2902(503) 413-5220 Get Directions Write a Review

NPPES record last updated: April 4, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Holly P Jastak Rn, Msn, Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLLY P JASTAK RN, MSN, FNP (NPI 1023541869) is an individual family provider in Portland, Oregon, licensed in Oregon (201703454NP-PP) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023541869

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameHOLLY P JASTAKCredential: RN, MSN, FNP

Location Address2800 N VANCOUVER AVE STE 165Portland, OR 97227-1644

Mailing AddressPo Box 4399Portland, OR 97208-4399 · (503) 413-3900 · Fax (503) 413-3710

Phone(503) 413-2902

Fax(503) 413-5220

Sole ProprietorYes

Enumeration DateApril 8, 2017

Last NPPES UpdateApril 4, 2019

✔ NPI 1023541869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OR · 201703454NP-PP

2800 N VANCOUVER AVE STE 165, Portland, OR 97227

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, BridgeSpan Health Company, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holly P Jastak Rn, Msn, Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97227 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA FERN BYLER LISW

Social Worker

2800 N VANCOUVER AVE STE 165
PORTLAND, OR 97227

Multnomah County (503) 413-2902

CARMEN ELIAS-FRANCISCO

Community Health Worker

2800 N VANCOUVER AVE STE 165
PORTLAND, OR 97227

Multnomah County (503) 413-5490

LAURA MICHELLE DART M.D.

Pediatrics

2800 N VANCOUVER AVE STE 165
PORTLAND, OR 97227

Multnomah County (503) 413-2902

JACOB WICKS

Social Worker (Clinical)

2800 N VANCOUVER AVE STE 165
PORTLAND, OR 97227

Multnomah County (503) 413-2902

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holly Jastak's NPI number?

The NPI number for Holly Jastak is 1023541869. It was assigned to this individual provider in the NPPES registry on April 8, 2017.

Where is Holly Jastak located?

Holly Jastak practices at 2800 N Vancouver Ave Ste 165, Portland, OR 97227. The listed phone number is (503) 413-2902.

What is Holly Jastak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Holly Jastak enrolled in Medicare?

Yes. Holly Jastak is registered in the Medicare PECOS enrollment system.

What insurance does Holly Jastak accept?

Health plans from Blue Cross Blue Shield of Arizona, BridgeSpan Health Company, Moda Health Plan, Inc., Oscar Health Plan, Inc. and PacificSource Health Plans and 3 other insurers list Holly Jastak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Holly Jastak was last updated on April 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.