JENNIFER VEIT HALL JACKSON (M.D.) – Obstetrics & Gynecology Physician, NPI 1174784367
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
632 OBSTETRICS/GYNECOLOGY in OR
Provider Addresses for JENNIFER VEIT HALL JACKSON (M.D.)
1900 WOODLAND DR
COOS BAY, OR 974202099
Phone: (541) 267-5151
Type: Mailing
940 ROYAL AVE UNIT 350
MEDFORD, OR 975046194
Phone: (541) 732-7460
Type: Location
3158, Southwest 87th Avenue, Portland, Metro, Washington County, Oregon, 97225, United States
PORTLAND, OR 972083158
Phone:
Type: Mailing
Southwest Barnes Road, Sylvan-Highlands, Portland, Metro, Multnomah County, Oregon, 97210, United States
SUITE 761
PORTLAND, OR 972256646
Phone: (503) 216-2602
Type: Location
1900 Woodland Dr
Coos Bay, OR 974202099
Phone: (541) 267-5151
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $269.
Total Amount is formed as General ($269) + Research ($0) + Ownership ($0) = $269.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($250).
Total Amount
$269
General + Research + Ownership
Payments
15
Total payment records
General Amount
$269
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $250 |
| CooperSurgical, Inc. | $20 |
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: 2013-09-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130904000797 | I | Obstetrics/Gynecology | OR | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97420)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| - | OR | |
| - | OR | |
| Internal Medicine, Critical Care (Intensivists) | OR | |
| - | OR | |
| Nurse Practitioner | OR | |
| - | OR | |
| Infectious Disease | NY | |
| Internal Medicine | OR | |
| - | OR |
Reviews
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