Jenna Hannah Gaines, AGACNP | |
335 Se 8th Ave, Hillsboro, OR 97123-4246 | |
(503) 681-1860 | |
(503) 681-1606 |
Full Name | Jenna Hannah Gaines |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 335 Se 8th Ave, Hillsboro, Oregon |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518419704 | NPI | - | NPPES |
500759983 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 5009013 (North Carolina) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | 201809756NP-PP (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence St Vincent Medical Center | Portland, OR | Hospital |
Tuality Community Hospital | Hillsboro, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services Oregon | 0648183608 | 1344 |
Tuality Medical Group Llc | 7416173414 | 239 |
Providence Health And Services Oregon | 9335057447 | 137 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003991845 PECOS PAC ID: 5395656284 Enrollment ID: O20031113000626 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114015971 PECOS PAC ID: 9335057447 Enrollment ID: O20031117000153 |
Entity Name | Tuality Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073929782 PECOS PAC ID: 7416173414 Enrollment ID: O20140729000238 |
Mailing Address | Practice Location Address |
---|---|
Jenna Hannah Gaines, AGACNP 1400 Sw 5th Ave Ste 500, Portland, OR 97201-5537 Ph: (503) 494-8417 | Jenna Hannah Gaines, AGACNP 335 Se 8th Ave, Hillsboro, OR 97123-4246 Ph: (503) 681-1860 |
Mrs. Christine Marie Douglas, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 535 Se Washington St, Hillsboro, OR 97123 Phone: 503-755-6703 Fax: 503-755-6704 | |
Tina M Barber, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19075 Nw Tanasbourne Dr, Suit 200, Hillsboro, OR 97124 Phone: 503-684-8252 | |
Timothy Charles Kruth, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10690 Ne Cornell Rd Ste 220, Hillsboro, OR 97124 Phone: 503-848-5861 Fax: 503-848-5863 | |
Ms. Kathryn Rose Van Beeck, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19400 Nw Evergreen Pwy, Hillsboro, OR 97124 Phone: 503-645-2762 | |
Shannon Hummel, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 535 Se Washington St, Hillsboro, OR 97123 Phone: 503-755-6703 Fax: 503-755-6704 | |
Margaret Wittenauer-lee, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 333 Se 7th Ave Suite 5550, Hillsboro, OR 97123 Phone: 503-681-4273 | |
Patricia Hazel Glazier, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4660 Ne Belknap Ct, Suite 109, Hillsboro, OR 97124 Phone: 503-693-1944 Fax: 503-693-1941 |