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JENNIE L GOHMAN NP
NPI 1417614611
Nurse Practitioner - Gerontology in Winston, OR

Active since November 22, 2021PECOS EnrolledAccepts Medicare Assignment
671 SW MAIN ST, WINSTON, OR 97496(541) 492-4550(541) 492-4556 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 25, 2023, Nov 22, 2021 (2 updates tracked since 2021).

About Jennie L Gohman Np NPPES

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

JENNIE L GOHMAN NP (NPI 1417614611) is an individual gerontology provider in Winston, Oregon, licensed in Oregon (202202746NP-PP) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and maintains a secondary practice location in Roseburg.

NPPES Registry Identity

NPI1417614611
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameJENNIE L GOHMANCredential: NP
Location Address671 SW MAIN STWinston, OR 97496-6571
Mailing AddressPo Box 1121Roseburg, OR 97470-0254 · (541) 672-2691
Phone(541) 492-4550
Fax(541) 492-4556
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 22, 2021
Last NPPES UpdateJanuary 25, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2023
✔ NPI 1417614611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in OR · 202202746NP-PP
Also ListedRegistered NurseTaxonomy 163W00000X · License 097003240RN (OR)
Also ListedLicensed Practical NurseTaxonomy 164W00000X · License 097003240LPN (OR)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 202202746NP-PP (OR)
671 SW MAIN ST, Winston, OR 97496
Open in Google Maps ↗

Secondary Practice Location 1

Location 1621 W Madrone StRoseburg, OR 97470-3090 · Phone (541) 440-3500 · Fax (541) 957-3003

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan 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 and accepts Medicare assignment

Jennie L Gohman Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012303837
PECOS Enrollment IDI20220404002708
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Medical Center

Acute Care Hospitals · Roseburg, OR
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number380027
Location2700 NW Stewart ParkwayRoseburg, OR 97471 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97496 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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 18

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

LOUIS DARLING
Social Worker (Clinical)
671 SW MAIN ST
WINSTON, OR 97496
Douglas County (541) 492-4550
CORA G HART PHD
Psychologist
671 SW MAIN ST
WINSTON, OR 97496
Douglas County (541) 492-4550
JAIME HANSEN FNP-C, FNP-BC
Nurse Practitioner (Family)
671 SW MAIN ST
WINSTON, OR 97496
Douglas County (541) 672-2691
AUGUST STUPPY DO
Family Medicine
671 SW MAIN ST
WINSTON, OR 97496
Douglas County (541) 492-4550
MARCY ELLEN DEAN NP
Nurse Practitioner (Family)
671 SW MAIN ST
WINSTON, OR 97496
Douglas County (541) 492-4550
SUZANNE RUTH DUDEK DEWBRE FNP-C
Family Medicine
671 SW MAIN ST
WINSTON, OR 97496
Douglas County (541) 492-4550
LINDSAY NICOLE MERRITT PHD, LCSW
Social Worker (Clinical)
671 SW MAIN ST
WINSTON, OR 97496
Douglas County (541) 492-4550
MICHELLE HUBBARD RDH, EPP
Dental Hygienist
671 SW MAIN ST
WINSTON, OR 97496
Douglas County (888) 317-3329

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 Jennie Gohman's NPI number?

The NPI number for Jennie Gohman is 1417614611. It was assigned to this individual provider in the NPPES registry on November 22, 2021.

Where is Jennie Gohman located?

Jennie Gohman practices at 671 SW Main St, Winston, OR 97496. The listed phone number is (541) 492-4550.

What is Jennie Gohman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Jennie Gohman enrolled in Medicare?

Yes. Jennie Gohman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jennie Gohman accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jennie Gohman 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.

Is Jennie Gohman affiliated with any hospitals?

According to CMS data, Jennie Gohman is affiliated with Mercy Medical Center.

When was this NPI record last updated?

The NPPES record for Jennie Gohman was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.