JESSICA LYNN LOGGINS – Certified Registered Nurse Anesthetist, NPI 1609631704

JESSICA LYNN LOGGINS is a healthcare provider. based in Hillsboro, Oregon. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 10022956 (OR). The NPI Number for JESSICA LYNN LOGGINS is 1609631704

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA LYNN LOGGINS
NPI
1609631704
Phone
Not provided
Address
2875 NE Stucki Ave
Enumeration Date
19 February 2024
Last Update Date
28 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8008132000
Graduation Year
2024 (2 years ago)
PAC ID
5991242117
Group Practice PAC ID
5799688230
Professional Enrollment ID
I20240806003299
Address ID
OR970158970CL10180RDXX400

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/interconnectprodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:2State licenses:2Other namesUpdated within 12 months

512 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OR

Provider Addresses for JESSICA LYNN LOGGINS

  • 2875 NE Stucki Ave

    Hillsboro, OR 971245806

    Phone:

    Type: Location

  • 4650 W Sunset Blvd

    Los Angeles, CA 900276062

    Phone: (949) 439-6613

    Type: Location

  • 505 N WILSON AVE APT 3

    PASADENA, CA 911061159

    Phone: (949) 439-6613

    Type: Mailing

  • 10180 SE SUNNYSIDE RD

    CLACKAMAS, OR 970158970

    Phone:

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2024-08-06

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
I20240806003299ICertified Registered Nurse Anesthetist (Crna)ORTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97124)

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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: 5799688230View full group profile
NameSpecialtyState
U R O L O G YTX
Emergency MedicineOR
D E R M A T O L O G YAZ
Nurse PractitionerOR
Diagnostic RadiologyOR
D E R M A T O L O G YWA
-OR
-CA
General SurgeryCA
-OR

Reviews

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Frequently asked questions

How do I look up JESSICA LYNN LOGGINS by NPI?
Use NPI 1609631704 when you need to reference JESSICA LYNN LOGGINS in forms, claims, or directories.
Does this profile mean JESSICA LYNN LOGGINS is currently active?
Yes — JESSICA LYNN LOGGINS appears active in the national provider directory.
Does JESSICA LYNN LOGGINS list a primary specialty?
If you are matching referrals, note Certified Registered Nurse Anesthetist for JESSICA LYNN LOGGINS. Clinical services aligned with this taxonomy classification.
What location shows for JESSICA LYNN LOGGINS?
We surface Hillsboro, Oregon for JESSICA LYNN LOGGINS based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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