Emily Jack, MD

ActiveIndividual ProviderFamily Medicine
NPI issued: May 1, 2019

Quick Facts

NPI Number
1275197691
TypeIndividual
StatusActive
SpecialtyFamily Medicine
Taxonomy207Q00000X — Family Medicine
Phone
(541) 676-5504
StateOR

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1275197691)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (May 1, 2019)
Data source: CMS NPPES

Provider Overview

EMILY JACK, MD is a Family Medicine provider based in Heppner, OR who has been registered with CMS since 2019. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1275197691
Provider TypeIndividual Provider
GenderFemale
CredentialMD
StatusActive
Enumeration DateMay 1, 2019

Practice Location

CityHeppner
StateOR
ZIP Code97836-7325
Phone(541) 676-5504

Specialties & Licenses

★ Primary
SpecialtyFamily Medicine
Taxonomy Code207Q00000X
License StateOR

Mailing Address

CityHeppner
StateOR
ZIP Code97836-7325
Phone(541) 676-5504
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1275197691 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1275197691for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1275197691 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Family Medicine

Family Medicine physicians provide comprehensive primary care to patients of all ages, managing acute illnesses, tracking chronic conditions, and emphasizing preventive healthcare.

Browse all Family Medicineproviders →
📊
199,317
Family Medicine Providers in the US

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People Also Ask

What is Emily Jack's NPI number?
Emily Jack's NPI number is 1275197691, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Emily Jack's NPI currently active?
Yes, Emily Jack's NPI status is Active as of the latest CMS NPPES database updates.
What does Emily Jack specialize in?
Emily Jack specializes in Family Medicine. The healthcare taxonomy code associated with this specialty is 207Q00000X.
Where does Emily Jack practice?
Emily Jack practices in Heppner, OR 97836-7325.
When was Emily Jack's NPI issued?
Emily Jack's NPI was issued on May 1, 2019.
What is Emily Jack's provider type?
Emily Jack is registered as an Individual Provider under CMS NPI Type 1.