JACI MARIE MASTRANDREA (APRN, FNP-C) – Family Nurse Practitioner, NPI 1528779444
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,366 NURSE PRACTITIONER in OR
Provider Addresses for JACI MARIE MASTRANDREA (APRN, FNP-C)
5228 S ETNA ST
KLAMATH FALLS, OR 976038561
Phone:
Type: Mailing
2610 UHRMANN RD
KLAMATH FALLS, OR 976011123
Phone: (541) 274-4800
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $54.
Total Amount is formed as General ($54) + Research ($0) + Ownership ($0) = $54.
Last reported payment date: 2023-10-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($54).
Total Amount
$54
General + Research + Ownership
Payments
1
Total payment records
General Amount
$54
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $54 |
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: 2023-03-16
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 |
|---|---|---|---|---|
| I20230316002769 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 186 | 156 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 106 | 85 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 41 | 39 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 15 | 14 | $0 |
Insurance plans in this area (ZIP 97603)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Diagnostic Radiology | OR | |
| General Surgery, Thoracic Surgery | OR | |
| Nurse Practitioner | OR | |
| - | OR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CO | |
| C H I R O P R A C T I C | OR | |
| - | CA | |
| - | OR | |
| Family Practice | NM |
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