JENNIFER VIELHABER (NP) – Family Nurse Practitioner, NPI 1003597865

JENNIFER VIELHABER (NP) is a healthcare provider. based in North bend, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 61463110 (WA). The NPI Number for JENNIFER VIELHABER (NP) is 1003597865

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER VIELHABER (NP)
NPI
1003597865
Phone
(419) 957-6981
Address
1679 ROCK CREEK RIDGE BLVD SW
Enumeration Date
26 July 2023
Last Update Date
26 July 2023

Doctor Profile

Medical School Name
UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Secondary Phone
4254531039
Graduation Year
2023 (3 years ago)
PAC ID
3274989579
Group Practice PAC ID
6406752153
Professional Enrollment ID
I20240501003458
Address ID
WA980043742BE1200XNEXX403
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

6,261 NURSE PRACTITIONER in WA

Provider Addresses for JENNIFER VIELHABER (NP)

  • 1679 ROCK CREEK RIDGE BLVD SW

    NORTH BEND, WA 980459128

    Phone: (419) 957-6981

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 46 Open Payments records for all available years, with a total value of $1,005.

Total Amount is formed as General ($1,005) + Research ($0) + Ownership ($0) = $1,005.

Last reported payment date: 2024-08-28 • Largest payer in this snapshot: Novo Nordisk Inc ($184).

Total Amount

$1,005

General + Research + Ownership

Payments

46

Total payment records

General Amount

$1,005

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-05-01

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
I20240501003458INurse PractitionerWATBD

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 98045)

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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: 6406752153View full group profile
NameSpecialtyState
-OR
-WA
-WA
P A T H O L O G YTN
Nurse PractitionerWA
Diagnostic RadiologyWA
Nurse PractitionerWA
Physical Therapist In Private PracticeWA
O T O L A R Y N G O L O G YWA
Emergency MedicineOR

Reviews

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Frequently asked questions

What is the 10-digit NPI for JENNIFER VIELHABER (NP)?
JENNIFER VIELHABER (NP) — NPI 1003597865 — is the standard way to identify this listing.
Is JENNIFER VIELHABER (NP) still practicing?
JENNIFER VIELHABER (NP) is currently listed as active in the public NPI registry.
What is JENNIFER VIELHABER (NP) best known for clinically?
Directory data describes JENNIFER VIELHABER (NP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does JENNIFER VIELHABER (NP) list a practice location?
Patients near North Bend, Washington may find JENNIFER VIELHABER (NP) in results; validate coverage separately.
Is the information about JENNIFER VIELHABER (NP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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