IndividualActive
Madeline Jacobs, PMHNP, RN, BSN
NPI 1447622477 · Psychiatric/Mental Health Nurse Practitioner · Clackamas, OR
Provider details
- NPI number
- 1447622477
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP, RN, BSN
- Sex
- Female
- Sole proprietor
- No
- License
- 201504614RN (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13568 Se 97th Ave Ste 202
Clackamas, OR 97015-6668
Phone: (503) 694-3381
Fax: (503) 386-3293
Street-level locationGet directions
Mailing address
Po Box 23993
Tigard, OR 97281-3993
Additional practice locations (2)
- 6700 Sw 105th Ave Ste 203Beaverton, OR 97008-8824Phone: (503) 694-3381Fax: (503) 386-3293
- 7533 Center View Ct #210West Jordan, UT 84084Phone: (503) 694-3381Fax: (503) 386-3293
Registry dates
- Enumerated
- 2015-10-29
- Last updated
- 2024-12-03
- Certified
- 2024-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.