JACQUELINE SAMMONS NP-C
NPI 1235539594
Nurse Practitioner - Psychiatric/Mental Health in Beaverton, OR
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacqueline Sammons Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jacqueline Sammons reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lacey, WA 98516
- Reassigned Medicare billing, Montana enrollment
- 5 clinicians in this Medicare group
Tacoma, WA 98405
- Reassigned Medicare billing, Oregon enrollment
- 314 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
BEAVERTON, OR 97006
BEAVERTON, OR 97006
BEAVERTON, OR 97006
BEAVERTON, OR 97006
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.
Which organizations bill Medicare for Jacqueline Sammons's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Sammons reassigns Medicare benefits to 2 organizations: Express Care Wa PC (Lacey, WA) and Western Psychological And Counseling Services LLC (Tacoma, WA). Each 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 Jacqueline Sammons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacqueline Sammons accept?
Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska and 1 other insurer 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 16 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.
# Jacqueline Sammons, NP-C · NPI 1235539594
Psychiatric/Mental Health physician in Beaverton, Oregon. Individual provider, active in the CMS NPPES registry since August 23, 2014.
## Identity
- **NPI:** 1235539594 (Entity type: Individual)
- **Enumerated:** August 23, 2014
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 201405286NP-PP (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 NW BETHANY BLVD, Beaverton, OR 97006-5208
- **Phone:** (303) 868-3249
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Express Care Wa PC (NPI 1821554452, Lacey, WA); Western Psychological And Counseling Services LLC (NPI 1912008178, Tacoma, WA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1235539594) · Data from the CMS NPPES public registry.