JACKIE B MICHAEL-HAVENS NP
NPI 1548701600
Nurse Practitioner - Family in Gold Beach, OR
About Jackie B Michael-havens Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKIE B MICHAEL-HAVENS NP (NPI 1548701600) is an individual family provider in Gold Beach, Oregon, licensed in Oregon (202000081-NP-PP) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Jackie B Michael-havens 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97444 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Jackie Michael-havens's NPI number?
The NPI number for Jackie Michael-havens is 1548701600. It was assigned to this individual provider in the NPPES registry on March 9, 2017.
Where is Jackie Michael-havens located?
Jackie Michael-havens practices at PO Box 790, Gold Beach, OR 97444. The listed phone number is (609) 752-1320.
What is Jackie Michael-havens's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jackie Michael-havens enrolled in Medicare?
Yes. Jackie Michael-havens 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 Jackie Michael-havens accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jackie Michael-havens 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 Jackie Michael-havens was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.
# Jackie B Michael-Havens, NP · NPI 1548701600
Family physician in Gold Beach, Oregon. Individual provider, active in the CMS NPPES registry since March 9, 2017.
## Identity
- **NPI:** 1548701600 (Entity type: Individual)
- **Enumerated:** March 9, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 202000081-NP-PP (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** PO BOX 790, Gold Beach, OR 97444-0790
- **Phone:** (609) 752-1320
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** September 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1548701600) · Data from the CMS NPPES public registry.