MS. JACKLYNN CRUMP FNP-BC, PMHNP-BC - NPI 1861835654 - Nurse Practitioner in Redmond, OR

Q: What is Jacklynn Crump's NPI number?

The NPI number for Jacklynn Crump is 1861835654. It was assigned to this individual provider in the NPPES registry on April 10, 2013.

Q: What is Jacklynn Crump's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacklynn Crump was last updated on July 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ms. Jacklynn Crump Fnp-bc, Pmhnp-bc NPPES

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

MS. JACKLYNN CRUMP FNP-BC, PMHNP-BC (NPI 1861835654) is an individual psychiatric/mental health provider in Redmond, Oregon, licensed in Oregon (201902794NP-PP) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Madras, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1861835654

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMS. JACKLYNN CRUMPCredential: FNP-BC, PMHNP-BC

Location Address258 SW 5TH ST STE 2Redmond, OR 97756-2150

Mailing Address258 Sw 5th St Ste 2Redmond, OR 97756-2150 · (541) 203-0771 · Fax (458) 206-7385

Phone(541) 203-0771

Fax(458) 206-7385

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 10, 2013

Last NPPES UpdateJuly 29, 20244 updates tracked since enumeration

NPPES CertifiedJuly 29, 2024

✔ NPI 1861835654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in OR · 201902794NP-PP

258 SW 5TH ST STE 2, Redmond, OR 97756

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Secondary Practice Location 1

Location 1850 SW 4th St Ste 101Madras, OR 97741-9629 · Phone (541) 475-6575 · Fax (541) 475-6196

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

Ms. Jacklynn Crump Fnp-bc, 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 ID4587803366

PECOS Enrollment IDI20250819002501

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 97756 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 6

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

FOOT FITNESS

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