JENNIFER O'DONNELL RN
NPI 1568919694
Nurse Practitioner in Longview, WA

Q: What is Jennifer O'donnell's NPI number?

The NPI number for Jennifer O'donnell is 1568919694. It was assigned to this individual provider in the NPPES registry on September 7, 2016.

Q: What is Jennifer O'donnell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since September 07, 2016PECOS Enrolled

1615 DELAWARE ST, LONGVIEW, WA 98632(360) 816-5706(360) 696-5038 Get Directions Write a Review

NPPES record last updated: July 16, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 16, 2020, Apr 19, 2020, May 9, 2019 and 1 more (4 updates tracked since 2019).

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About Jennifer O'donnell Rn NPPES

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

JENNIFER O'DONNELL RN (NPI 1568919694) is an individual nurse practitioner in Longview, Washington, licensed in Washington (AP60934049) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Washougal.

NPPES Registry Identity

NPI1568919694

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJENNIFER O'DONNELLCredential: RN

Location Address1615 DELAWARE STLongview, WA 98632-2367

Mailing Address1472 Belle Center RdWashougal, WA 98671-1111 · (503) 887-7588

Phone(360) 816-5706

Fax(360) 696-5038

Sole ProprietorYes

Enumeration DateSeptember 7, 2016

Last NPPES UpdateJuly 16, 20204 updates tracked since enumeration

NPPES CertifiedJuly 16, 2020

✔ NPI 1568919694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in WA · AP60934049✔ Licensed in OR · 201901742NP-PP

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN60454019 (WA), 201705913RN (OR)

1615 DELAWARE ST, Longview, WA 98632

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Secondary Practice Location 1

Location 11472 Belle Center RdWashougal, WA 98671-7536 · Phone (503) 887-7588

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer O'donnell Rn 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.

Medicare Billing Reassignments

Medicare enrollment records show Jennifer O'donnell reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Peacehealth

0.1 mi

Multi-Specialty

1615 DELAWARE ST
Longview, WA 98632

Reassigned Medicare billing, Washington enrollment
308 clinicians in this Medicare group

NPI 1720056187 (360) 414-2000

Peacehealth

39 mi

General Acute Care Hospital

400 NE MOTHER JOSEPH PL
Vancouver, WA 98664

Reassigned Medicare billing, Washington enrollment
244 clinicians in this Medicare group

NPI 1134178999 (360) 256-2000

Crm Physicians, LLC

46 mi

Internal Medicine

6800 SW 105TH AVE STE 206
Beaverton, OR 97008

Reassigned Medicare billing, Oregon enrollment
84 clinicians in this Medicare group

NPI 1952674996 (503) 351-3505

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 98632 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

CHOONG R KIM M.D.

Radiology (Radiation Oncology)