JAMIE WIMMER
NPI 1679234058
Student in an Organized Health Care Education/Training Program in Lebanon, OR

Active since January 06, 2022PECOS Enrolled
200 MULLINS DR, LEBANON, OR 97355(541) 259-0235 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jamie Wimmer NPPES

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

JAMIE WIMMER (NPI 1679234058) is an individual student in an organized health care education/training program in Lebanon, Oregon and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Pueblo.

NPPES Registry Identity

NPI1679234058
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJAMIE WIMMER
Location Address200 MULLINS DRLebanon, OR 97355-3983
Mailing Address200 Mullins DrLebanon, OR 97355-3983 · (541) 259-0235
Sole ProprietorNo
Enumeration DateJanuary 6, 2022
Last NPPES UpdateJuly 18, 2025
NPPES CertifiedJuly 18, 2025
NPI 1679234058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
200 MULLINS DR, Lebanon, OR 97355

Secondary Practice Location 1

Location 1902 Lakeview AvePueblo, CO 81004-3597 · Phone (719) 557-5855 · Fax (719) 557-5097

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jamie Wimmer 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.

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.

General Practice
200 MULLINS DR
LEBANON, OR 97355
Psychiatry & Neurology (Psychiatry)
200 MULLINS DR
LEBANON, OR 97355
Family Medicine
200 MULLINS DR
LEBANON, OR 97355
Internal Medicine
200 MULLINS DR
LEBANON, OR 97355
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355

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 Jamie Wimmer's NPI number?

The NPI number for Jamie Wimmer is 1679234058. It was assigned to this individual provider in the NPPES registry on January 6, 2022.

Where is Jamie Wimmer located?

Jamie Wimmer practices at 200 Mullins Dr, Lebanon, OR 97355. The listed phone number is (541) 259-0235.

What is Jamie Wimmer's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jamie Wimmer enrolled in Medicare?

Yes. Jamie Wimmer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jamie Wimmer was last updated on July 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.