Jacqueline Sammons, NP-C - Medicare Nurse Practitioner in Lake Oswego, OR

Jacqueline Sammons, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Lake Oswego, Oregon. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Express Care Or Pc, Express Care Wa Pc, Express Care Wa Pc and her current practice location is 17704 Jean Way, Lake Oswego, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 675-6776.

Jacqueline Sammons is licensed to practice in Oregon (license number 201405286NP-PP) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1235539594.

Contact Information

Jacqueline Sammons, NP-C
17704 Jean Way,
Lake Oswego, OR 97035-5497
(503) 675-6776
Not Available



Provider's Profile

Full NameJacqueline Sammons
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location17704 Jean Way, Lake Oswego, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacqueline Sammons graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1235539594
  • Provider Enumeration Date: 08/23/2014
  • Last Update Date: 09/24/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1052636628
  • Enrollment ID: I20150203001035

Medical Identifiers

Medical identifiers for Jacqueline Sammons such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235539594NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 201405286NP-PP (Oregon)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Express Care Or Pc125476873249
Express Care Wa Pc680012806755
Express Care Wa Pc680012806755

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacqueline Sammons allows following entities to bill medicare on her behalf.
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023488343
PECOS PAC ID: 0648183608
Enrollment ID: O20031106000652

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Entity NameExpress Care Or Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205499126
PECOS PAC ID: 1254768732
Enrollment ID: O20200311001372

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Sammons is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacqueline Sammons, NP-C
2237 Nw Edgewood Pl,
Portland, OR 97229-7618

Ph: (303) 868-3249
Jacqueline Sammons, NP-C
17704 Jean Way,
Lake Oswego, OR 97035-5497

Ph: (503) 675-6776

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Nurse Practitioner Nurses in Lake Oswego, OR

Susan Ranae Battle, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5 Centerpointe Dr, Lake Oswego, OR 97035
Phone: 541-214-6301    Fax: 855-510-1784
Krisa Fenton, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035
Phone: 615-465-9443    
Miss Amanda Magdalena Kinder, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4103 Mercantile Dr, Lake Oswego, OR 97035
Phone: 503-850-9940    
Mrs. Amanda L Swinehart, NNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5299 Lakeview Blvd, Lake Oswego, OR 97035
Phone: 740-215-1612    
Dr. Kristine Susan White, DNP, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 14523 Westlake Dr Ste 25, Lake Oswego, OR 97035
Phone: 503-854-7160    Fax: 503-886-8961
Anthony Hernandez,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035
Phone: 503-603-7355    
Tierney Newman, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4004 Kruse Way Pl Ste 300, Lake Oswego, OR 97035
Phone: 503-216-1500    

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