MRS. JAMIE KERSENBROCK BARBARA FNP-BC, RN, BSN
NPI 1134535180
Nurse Practitioner - Family in Lake Oswego, OR

Active since July 09, 2014Opted out of Medicare · through Oct 1, 2027
5200 MEADOWS RD, SUITE 250, LAKE OSWEGO, OR 97035(503) 445-2200 Get Directions Write a Review

NPPES record last updated: February 1, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Jamie Kersenbrock Barbara Fnp-bc, Rn, Bsn NPPES

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

MRS. JAMIE KERSENBROCK BARBARA FNP-BC, RN, BSN (NPI 1134535180) is an individual family provider in Lake Oswego, Oregon, licensed in Oregon (201501757NP-PP) and active in the NPI registry since July 2014. She has opted out of Medicare through October 1, 2027.

NPPES Registry Identity

NPI1134535180
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JAMIE KERSENBROCK BARBARACredential: FNP-BC, RN, BSN
Location Address5200 MEADOWS RD, SUITE 250Lake Oswego, OR 97035-3202
Mailing Address1010 Ne Skidmore StPortland, OR 97211-3476 · (541) 206-2696
Sole ProprietorNo
Enumeration DateJuly 9, 2014
Last NPPES UpdateFebruary 1, 2017
NPI 1134535180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OR · 201501757NP-PP
Also ListedRegistered NurseTaxonomy 163W00000X · License 201501756RN (OR)
5200 MEADOWS RD, Lake Oswego, OR 97035

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mrs. Jamie Kersenbrock Barbara Fnp-bc, Rn, Bsn has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2021 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2021
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

Specialist
5200 MEADOWS RD, STE 250
LAKE OSWEGO, OR 97035
Speech-Language Pathologist
5200 MEADOWS RD
LAKE OSWEGO, OR 97035

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134535180, enumerated as an "individual" on July 09, 2014.

The provider is located at 5200 MEADOWS RD SUITE 250 LAKE OSWEGO, OR 97035 and the phone number is (503) 445-2200.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.