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ABDOULIE JALLOW PMHNP-BC
NPI 1720409394
Nurse Practitioner - Psychiatric/Mental Health in Salem, OR

Active since December 26, 2013PECOS EnrolledAccepts Medicare Assignment
1880 LANCASTER DR NE STE 110, SALEM, OR 97305(503) 395-8614(971) 231-0184 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 17, 2021, Jul 19, 2021 (2 updates tracked since 2021).

About Abdoulie Jallow Pmhnp-bc NPPES

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

ABDOULIE JALLOW PMHNP-BC (NPI 1720409394) is an individual psychiatric/mental health provider in Salem, Oregon, licensed in Oregon (202103126NP-PP) and active in the NPI registry since December 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1720409394
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameABDOULIE JALLOWCredential: PMHNP-BC
Location Address1880 LANCASTER DR NE STE 110Salem, OR 97305-1065
Mailing Address1880 Lancaster Dr Ne Ste 110Salem, OR 97305-1065 · (503) 395-8614 · Fax (971) 231-0184
Phone(503) 395-8614
Fax(971) 231-0184
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 26, 2013
Last NPPES UpdateFebruary 29, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 29, 2024
✔ NPI 1720409394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OR · 202103126NP-PP
Also ListedRegistered NurseTaxonomy 163W00000X · License 201504320RN (OR)
1880 LANCASTER DR NE STE 110, Salem, OR 97305
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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

Abdoulie Jallow Pmhnp-bc 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 ID749678654
PECOS Enrollment IDI20211026002718
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 97305 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 4

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

MONICA L BYERS APRN
Nurse Practitioner (Psychiatric/Mental Health)
1880 LANCASTER DR NE STE 110
SALEM, OR 97305
Marion County (503) 395-8614
TIFFANY HAN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1880 LANCASTER DR NE STE 110
SALEM, OR 97305
Marion County (503) 395-8614
EUHEALTH PSYCHIATRY LLC
Nurse Practitioner (Psychiatric/Mental Health)
1880 LANCASTER DR NE STE 110
SALEM, OR 97305
Marion County (503) 395-8614
GLORY OMOSEDE UGIAGBE PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1880 LANCASTER DR NE STE 110
SALEM, OR 97305
Marion County (503) 395-8614

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 Abdoulie Jallow's NPI number?

The NPI number for Abdoulie Jallow is 1720409394. It was assigned to this individual provider in the NPPES registry on December 26, 2013.

Where is Abdoulie Jallow located?

Abdoulie Jallow practices at 1880 Lancaster Dr NE Ste 110, Salem, OR 97305. The listed phone number is (503) 395-8614.

What is Abdoulie Jallow's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Abdoulie Jallow enrolled in Medicare?

Yes. Abdoulie Jallow 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 Abdoulie Jallow accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Abdoulie Jallow 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 Abdoulie Jallow was last updated on February 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.