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JACKIE B MICHAEL-HAVENS NP
NPI 1548701600
Nurse Practitioner - Family in Brookings, OR

Active since March 09, 2017PECOS EnrolledAccepts Medicare Assignment
500 5TH ST, BROOKINGS, OR 97415(541) 412-2000(541) 412-2081 Get Directions Write a Review

NPPES record last updated: September 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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 Brookings, 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

NPI1548701600
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACKIE B MICHAEL-HAVENSCredential: NP
Location Address500 5TH STBrookings, OR 97415-9702
Mailing Address500 5th StBrookings, OR 97415-9702 · (541) 412-2000 · Fax (541) 412-2081
Phone(541) 412-2000
Fax(541) 412-2081
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 9, 2017
Last NPPES UpdateSeptember 3, 2020
NPPES CertifiedSeptember 3, 2020
✔ NPI 1548701600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OR · 202000081-NP-PP
500 5TH ST, Brookings, OR 97415
Open in Google Maps ↗

Other Identifiers 3

Other1083656367OR · Curry Medical Center Npi
Other1487696985OR · Curry General Hospital Npi
Medicaid500776554OR

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

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.

PECOS PAC ID7911335682
PECOS Enrollment IDI20260311002063
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 97415 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 20

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

LACY ANN WOODS OTR/L
Occupational Therapist
500 5TH ST
BROOKINGS, OR 97415
Curry County (541) 412-2000
TIFFANIE NEWMAN
Occupational Therapist
500 5TH ST
BROOKINGS, OR 97415
Curry County (888) 873-4221
HANNAH LOUISE HUGHEY FNP
Family Medicine
500 5TH ST
BROOKINGS, OR 97415
Curry County (541) 412-2000
RACHEL WATKINS PTA
Physical Therapy Assistant
500 5TH ST
BROOKINGS, OR 97415
Curry County (541) 412-2000
DR. ALEXA HANSON LAHTI OTD
Occupational Therapist
500 5TH ST
BROOKINGS, OR 97415
Curry County (541) 412-2000
OLIVIA ANN DEITERING
Physical Therapy Assistant
500 5TH ST
BROOKINGS, OR 97415
Curry County (419) 788-4247
STEPHEN W SHEA D.O.
Orthopaedic Surgery
500 5TH ST
BROOKINGS, OR 97415
Curry County (541) 412-2000
HOWARD NELSON CROY P.A.
Physician Assistant
500 5TH ST
BROOKINGS, OR 97415
Curry County (541) 412-2000

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 500 5th St, Brookings, OR 97415. The listed phone number is (541) 412-2000.

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 3, 2020. 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.