JENNIFER O'DONNELL (RN) – Nurse Practitioner, NPI 1568919694
Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JENNIFER O'DONNELL (RN)
1472 Belle Center Rd
Washougal, WA 986717536
Phone: (503) 887-7588
Type: Location
PeaceHealth St. John Medical Center, 1615, Delaware Street, Longview, Cowlitz County, Washington, 98632, United States
LONGVIEW, WA 986322367
Phone: (360) 816-5706
Fax: (360) 696-5038
Type: Location
1472 BELLE CENTER RD
WASHOUGAL, WA 986711111
Phone: (503) 887-7588
Type: Mailing
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 $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2023-10-25 • Largest payer in this snapshot: Tactile Systems Technology Inc ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Tactile Systems Technology Inc | $16 |
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: 2019-07-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20190614000574 | I | Nurse Practitioner | OR | TBD |
| I20190716003159 | I | Nurse Practitioner | WA | 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 98671)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OR | |
| Nurse Practitioner | TX | |
| Family Practice | OR | |
| Internal Medicine | OR | |
| Nurse Practitioner | OR | |
| Physician Assistant | OR | |
| Hospitalist, Internal Medicine | OR | |
| Internal Medicine | OR | |
| Nurse Practitioner | OR | |
| Physician Assistant | OR |
Reviews
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