Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811060874 Individual Practitioner Female Practitioner

Mary Lucille Jansma , ARNP

Nurse Practitioner • Longview, WA

Professional Overview & Biography Verified Profile Summary

Mary Jansma, ARNP is a registered healthcare professional specializing in Nurse Practitioner in Longview, WA. Practice services are available at 600 N. BROADWAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

600 N. Broadway

Longview, WA 986320302

Telephone 3604142177
Fax 3604142210
Associated Practice Facility / Clinic
🏢 Peacehealth Facility NPI 1275501538

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Longview, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.6 Yrs
State Avg: 11.0 Yrs
Regional Practice Density
13 Specialists

Practicing in Longview, WA (2339 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WA AP30005737

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License WA AP30005737

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
9652611 (WA)
Commercial Insurance / Payer ID Crime Victims
8944406 (WA)
Commercial Insurance / Payer ID Labor & Ind.
0220991 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Alicia Susilla , BS

Dietitian, Registered

NPI 1154315968

Bachelor of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 14, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location November 14, 2007

Registered at 600 N. BROADWAY, LONGVIEW, WA 986320302 (Tel: 3604142177)

📍
Updated Business Mailing Address November 14, 2007

Registered at PO BOX 3002, 600 N. BROADWAY, LONGVIEW, WA 986320302 (Tel: 3604142177)

👤
Provider Name / Credentials Updated November 14, 2007

Recorded as MARY JANSMA, ARNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2007

Nurse Practitioner (License #AP30005737 in WA)

🟢
Initial NPI Registration & Enumeration November 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811060874
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2006
Last Update: November 14, 2007
Sole Proprietor: No

Mailing Address

Po Box 3002, 600 N. Broadway

Longview, WA 986320302

Phone: 3604142177

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.