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JACQUELINE SAMMONS NP-C
NPI 1235539594
Nurse Practitioner - Psychiatric/Mental Health in Beaverton, OR

Active since August 23, 2014PECOS Enrolled
93.6/100
CMS Quality Rating
1500 NW BETHANY BLVD, BEAVERTON, OR 97006(303) 868-3249 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2025, Sep 24, 2020 (2 updates tracked since 2020).

About Jacqueline Sammons Np-c NPPES

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

JACQUELINE SAMMONS NP-C (NPI 1235539594) is an individual psychiatric/mental health provider in Beaverton, Oregon, licensed in Oregon (201405286NP-PP) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235539594
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJACQUELINE SAMMONSCredential: NP-C
Location Address1500 NW BETHANY BLVDBeaverton, OR 97006-5208
Mailing Address14757 Sw Oregon Trail LnBeaverton, OR 97006-5908 · (303) 868-3249
Phone(303) 868-3249
Sole ProprietorNo
Enumeration DateAugust 23, 2014
Last NPPES UpdateJune 11, 20252 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
✔ NPI 1235539594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OR · 201405286NP-PP
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 201405286NP-PP (OR)
1500 NW BETHANY BLVD, Beaverton, OR 97006
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, PacificSource Health Plans 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)

Jacqueline Sammons Np-c 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 97006 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.97
Promoting Interoperability99
Improvement Activities40
Cost91.53

Other Providers at the Same Location NPPES 20

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

STEPHANIE K. CRAWFORD M.S. CCC-SLP
Speech-Language Pathologist
1500 NW BETHANY BLVD
BEAVERTON, OR 97006
Washington County (503) 346-0640
LINDA HANOVER-URBAN CADC
Counselor (Addiction (Substance Use Disorder))
1500 NW BETHANY BLVD, SUITE 240
BEAVERTON, OR 97006
Washington County (503) 644-7300
DR. ANDREW ERLANDSEN N.D.
Naturopath
1500 NW BETHANY BLVD, SUITE 135
BEAVERTON, OR 97006
Washington County (503) 645-5810
JOY MAYER GULSETH M.A.
Behavior Analyst
1500 NW BETHANY BLVD, SUITE 320
BEAVERTON, OR 97006
Washington County (509) 965-7100
LAURIE MUHLBAUER PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1500 NW BETHANY BLVD, STE 320
BEAVERTON, OR 97006
Washington County (503) 567-3260
HEATHER FOGG
Counselor (Mental Health)
1500 NW BETHANY BLVD, SUITE 320
BEAVERTON, OR 97006
Washington County (503) 567-3260
DANA GIESZLER MS, NCC, LPC INTERN
Counselor (Mental Health)
1500 NW BETHANY BLVD, 320
BEAVERTON, OR 97006
Washington County (503) 567-3260
JOHN J COYLE
Social Worker (Clinical)
1500 NW BETHANY BLVD, 320
BEAVERTON, OR 97006
Washington County (503) 567-3260

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 Jacqueline Sammons's NPI number?

The NPI number for Jacqueline Sammons is 1235539594. It was assigned to this individual provider in the NPPES registry on August 23, 2014.

Where is Jacqueline Sammons located?

Jacqueline Sammons practices at 1500 NW Bethany Blvd, Beaverton, OR 97006. The listed phone number is (303) 868-3249.

What is Jacqueline Sammons's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jacqueline Sammons enrolled in Medicare?

Yes. Jacqueline Sammons is registered in the Medicare PECOS enrollment system.

What insurance does Jacqueline Sammons accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Regence BlueCross BlueShield of Oregon list Jacqueline Sammons 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 Jacqueline Sammons was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.