Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Jessica M Collins , CRM

Prevention Professional • Pendleton, OR

Active NPI 1871206995 Individual Practitioner Female Practitioner
Practice location in NPPES

46314 Timine Way
Pendleton, OR 978019417

Call 5419669830 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

46314 Timine Way

Pendleton, OR 978019417

Telephone 5419669830
Organization at the Same NPPES Address or Phone
Yellowhawk Tribal Health Center Facility NPI 1346283488

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Pendleton and Oregon

13 active clinicians are listed under Prevention Professional with a practice address in Pendleton, OR (24 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Pendleton

0% of these 13 clinicians have the CMS telehealth indicator.

0% of these 13 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-01-04
Prevention Professional Primary Specialty

NUCC Taxonomy Code: 405300000X

License # reported to NPPES OR 22-CRM-1422

Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Oregon
22-CRM-1422 (OR)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

15 listed
Seth Alford , ARNP FNP-BC

Nurse Practitioner - Family

NPI 1164000972

ARNPFNPBC

Bryan Canwell , PA-C

Physician Assistant - Medical

NPI 1598741860

Physician Assistant (Certified)

NPI 1619603297

Doctor of Optometry

NPI 1528035672

Licensed Clinical Social Worker

Dr. Daniel Kaylor , DDS

Dentist - General Practice

NPI 1306950084

Doctor of Dental Surgery

Dr. Amity Kirkland , DPM

Podiatrist - Primary Podiatric Medicine

NPI 1447645775

Doctor of Podiatric Medicine

Career & Practice History

NPI enumerated January 04, 2023.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2023 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1871206995
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 04, 2023
Last Update: January 04, 2023
Sole Proprietor: No

Mailing Address

Po Box 160

Pendleton, OR 978010160

Phone: 5419669830

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.