PEOPLE'S COMMUNITY CLINIC OF NEWBERG
NPI 1215486626
Nurse Practitioner - Family in Newberg, OR

Active since September 26, 2016CLIA 38D2129446 · Waiver
1014 N SPRINGBROOK RD STE B, NEWBERG, OR 97132(503) 449-8988(503) 894-9194 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 18, 2021, Apr 16, 2019, Oct 22, 2016 and 1 more (4 updates tracked since 2016).

About People's Community Clinic Of Newberg NPPES

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

PEOPLE'S COMMUNITY CLINIC OF NEWBERG (NPI 1215486626) is a healthcare organization registered as a family in Newberg, Oregon and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through April 18, 2027 and lists Jacqueline Arielle Smith, Owner, as its authorized official.

NPPES Registry Identity

NPI1215486626
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePEOPLES COMMUNITY CLINIC OF NEWBERG LLC
Location Address1014 N SPRINGBROOK RD STE BNewberg, OR 97132-2061
Mailing Address1014 N Springbrook Rd Ste BNewberg, OR 97132-2061 · (503) 449-8988 · Fax (503) 894-9194
Fax(503) 894-9194
Organization SubpartNo
Authorized OfficialJacqueline Arielle SmithOwner · (503) 449-8988
Enumeration DateSeptember 26, 2016
Last NPPES UpdateAugust 18, 20214 updates tracked since enumeration
NPPES CertifiedAugust 18, 2021
✔ NPI 1215486626 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 · 201350039NP
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
1014 N SPRINGBROOK RD STE B, Newberg, OR 97132

Other Names 1

Doing Business AsPeople's Community Clinic Of Newberg

Other Identifiers 1

Medicaid500720379OR

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

People's Community Clinic Of Newberg is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to People's Community Clinic Of Newberg, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1053379479
1014 N SPRINGBROOK RD STE B
Newberg, OR 97132
(503) 449-8988
✔ PECOSSame address
Nurse Practitioner
NPI 1932898897
1014 N SPRINGBROOK RD STE B
Newberg, OR 97132
(503) 449-8988
✔ PECOS1.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2129446

Peoples Community Clinic Of Newberg · Newberg, OR
Active · expires Apr 18, 2027
CLIA Number38D2129446
Laboratory TypePhysician Office
Certificate Effective DateApril 19, 2025
Certificate Expiration DateApril 18, 2027
Laboratory DirectorSheila M. Smith
Laboratory Phone(503) 449-8988
Laboratory LocationPeoples Community Clinic Of Newberg1014 N Springbrook Rd Ste B, Newberg, OR 97132
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Peoples Community Clinic Of Newberg LLC's NPI number?

The NPI number for Peoples Community Clinic Of Newberg LLC is 1215486626. It was assigned to this organization in the NPPES registry on September 26, 2016. The provider is doing business as People's Community Clinic Of Newberg.

Where is Peoples Community Clinic Of Newberg LLC located?

Peoples Community Clinic Of Newberg LLC is located at 1014 N Springbrook Rd Ste B, Newberg, OR 97132. The listed phone number is (503) 449-8988.

What is Peoples Community Clinic Of Newberg LLC's specialty?

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

Is Peoples Community Clinic Of Newberg LLC enrolled in Medicare?

Yes. Peoples Community Clinic Of Newberg LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peoples Community Clinic Of Newberg LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Peoples Community Clinic Of Newberg LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Peoples Community Clinic Of Newberg LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2129446) is associated with this NPI, valid through April 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Peoples Community Clinic Of Newberg LLC accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Peoples Community Clinic Of Newberg LLC 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 Peoples Community Clinic Of Newberg LLC was last updated on August 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.