MS. JESSIE LEIGH CLARK APRNNP, FNPC, FNPBC
NPI 1780439703
Nurse Practitioner - Family in Mcminnville, OR
About Ms. Jessie Leigh Clark Aprnnp, Fnpc, Fnpbc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JESSIE LEIGH CLARK APRNNP, FNPC, FNPBC (NPI 1780439703) is an individual family provider in Mcminnville, Oregon, licensed in Oregon (10045453) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, is affiliated with Providence Newberg Medical Center, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Jessie Leigh Clark Aprnnp, Fnpc, Fnpbc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jessie Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mcminnville, OR 97128
- Reassigned Medicare billing, Oregon enrollment
- 111 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Providence Newberg Medical Center
Acute Care Hospitals · Newberg, ORWillamette Valley Medical Center
Acute Care Hospitals · Mcminnville, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Jessie Clark's NPI number?
The NPI number for Jessie Clark is 1780439703. It was assigned to this individual provider in the NPPES registry on April 22, 2024.
Where is Jessie Clark located?
Jessie Clark practices at 115 NE May Ln, Mcminnville, OR 97128. The listed phone number is (503) 472-1338.
What is Jessie Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jessie Clark enrolled in Medicare?
Yes. Jessie Clark is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jessie Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessie Clark reassigns Medicare benefits to Virginia Garcia Memorial Health Center (Mcminnville, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessie Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jessie Clark accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jessie Clark 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.
Is Jessie Clark affiliated with any hospitals?
According to CMS data, Jessie Clark is affiliated with Providence Newberg Medical Center and Willamette Valley Medical Center.
When was this NPI record last updated?
The NPPES record for Jessie Clark was last updated on September 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 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.
# Ms. Jessie Leigh Clark, APRNNP, FNPC, FNPBC · NPI 1780439703
Family physician in Mcminnville, Oregon. Individual provider, active in the CMS NPPES registry since April 22, 2024.
## Identity
- **NPI:** 1780439703 (Entity type: Individual)
- **Enumerated:** April 22, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 10045453 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 115 NE MAY LN, Mcminnville, OR 97128-9272
- **Phone:** (503) 472-1338
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Virginia Garcia Memorial Health Center (NPI 1295997575, Mcminnville, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** September 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1780439703) · Data from the CMS NPPES public registry.