JENNIE L GOHMAN (NP) – Gerontology Nurse Practitioner, NPI 1417614611
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,366 NURSE PRACTITIONER in OR
Provider Addresses for JENNIE L GOHMAN (NP)
621 W Madrone St
Roseburg, OR 974703090
Phone: (541) 440-3500
Fax: (541) 957-3003
Type: Location
PO BOX 1121
ROSEBURG, OR 974700254
Phone: (541) 672-2691
Type: Mailing
671 SW MAIN ST
WINSTON, OR 974966571
Phone: (541) 492-4550
Fax: (541) 492-4556
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $323.
Total Amount is formed as General ($323) + Research ($0) + Ownership ($0) = $323.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABBVIE INC. ($119).
Total Amount
$323
General + Research + Ownership
Payments
15
Total payment records
General Amount
$323
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $119 |
| Indivior Inc. | $45 |
| GlaxoSmithKline, LLC. | $30 |
| Novo Nordisk Inc | $25 |
| Amgen Inc. | $23 |
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: 2022-04-04
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 |
|---|---|---|---|---|
| I20220404002708 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97470)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | OR | |
| Mental Health Counselor | OR | |
| Nurse Practitioner | OR | |
| Nurse Practitioner | NE | |
| Nurse Practitioner | OR | |
| P S Y C H I A T R Y | ID | |
| - | WA | |
| Nurse Practitioner | CA | |
| - | OR | |
| Nurse Practitioner | OR |
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.