JERRY L FOSTER (FNP) – Family Nurse Practitioner, NPI 1053574772

JERRY L FOSTER (FNP) is a healthcare provider. based in Warm spring, Oregon. specializing in Family Nurse Practitioner. They hold the professional credentials FNP. They hold a License No. R41699 (NM). The NPI Number for JERRY L FOSTER (FNP) is 1053574772

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
JERRY L FOSTER (FNP)
NPI
1053574772
Phone
(541) 553-1196
Address
1270 KOTNUM ROAD
Enumeration Date
2 July 2008
Last Update Date
8 June 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4067683491
Graduation Year
2007 (19 years ago)
PAC ID
0042388969
Group Practice PAC ID
9638081623
Professional Enrollment ID
I20081006000298
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

Provider Addresses for JERRY L FOSTER (FNP)

  • 1270 KOTNUM ROAD

    WARM SPRING, OR 977611209

    Phone: (541) 553-1196

    Type: Location

  • PO BOX 1209

    WARM SPRING, OR 977611209

    Phone: (541) 553-1196

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-10-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081006000298INurse PractitionerTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 97761)

Loading plans...

Provider's Procedures

JERRY L FOSTER (FNP) performs procedures in Family Nurse Practitioner. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONEROR83036Hemoglobin A1C level4941

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638081623View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is there an official ID for JERRY L FOSTER (FNP) in U.S. healthcare records?
The official identifier for JERRY L FOSTER (FNP) is NPI 1053574772.
Is JERRY L FOSTER (FNP) shown as active in public data?
Registry records indicate JERRY L FOSTER (FNP) maintains an active NPI.
What expertise is attributed to JERRY L FOSTER (FNP)?
JERRY L FOSTER (FNP)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Oregon is JERRY L FOSTER (FNP) registered?
Use Warm Spring, Oregon as the headline location for JERRY L FOSTER (FNP) here.
Does JERRY L FOSTER (FNP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

Similar Providers

RON WHITTEN-BAILEY (NP-C)

Family Nurse Practitioner
West Gage Boulevard, Kennewick, Benton County, Washington, 99336-1117, United States
NPI: 1063415644

MS. NANCY LYNN SPENCER (MSN FNP)

Family Nurse Practitioner
19643 SW BERNHARDT DRIVE
NPI: 1487657052

DR. LUIS FERNANDO CARRILLO (FNP)

Family Nurse Practitioner
8225 NE Wasco St Ste 300
NPI: 1083617658
319 E Hawaii Ave
NPI: 1851394464

JOANNE T EDDINGTON (FNP)

Family Nurse Practitioner
3158, Southwest 87th Avenue, Portland, Metro, Washington County, Oregon, 97225, United States
NPI: 1417950015

MR. MICHAEL AARON SHEETS (FNP)

Family Nurse Practitioner
Lincoln Street, Merrill, Plymouth County, Iowa, 51038, United States
NPI: 1548262876

PATRICIA L MECUM (FNP)

Family Nurse Practitioner
Ramsey Avenue, Grants Pass, Josephine County, Oregon, 97527, United States
NPI: 1841293180