EMILY M JAKSICH (ARNP) – Acute Care Nurse Practitioner, NPI 1336510635
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,366 NURSE PRACTITIONER in OR
Provider Addresses for EMILY M JAKSICH (ARNP)
1 Hayden Bridge Way
Springfield, OR 974771347
Phone: (541) 868-9430
Type: Location
200 HAWKINS DRIVE
NEUROLOGY CLINIC
IOWA CITY, IA 52240
Phone: (319) 353-7131
Type: Location
3377 RIVERBEND DR
SPRINGFIELD, OR 974778803
Phone: (541) 222-8400
Fax: (541) 222-8401
Type: Location
1 HAYDEN BRIDGE WAY
SPRINGFIELD, OR 974771347
Phone: (541) 868-9430
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $202.
Total Amount is formed as General ($202) + Research ($0) + Ownership ($0) = $202.
Last reported payment date: 2024-09-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($112).
Total Amount
$202
General + Research + Ownership
Payments
2
Total payment records
General Amount
$202
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $112 |
| Medtronic, Inc. | $90 |
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: 2020-11-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201106001461 | I | Nurse Practitioner | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 165 | 134 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 63 | 58 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 53 | 53 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 27 | 27 | $0 |
Insurance plans in this area (ZIP 97477)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| - | WA | |
| - | OR | |
| - | WA | |
| - | OR | |
| Nurse Practitioner | OR | |
| - | OR | |
| Pulmonary Disease, Critical Care (Intensivists) | OR | |
| - | OR | |
| - | OR |
Reviews
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