JENNIFER ELAINE LOCKWOOD AGNP NPI 1609255595

NPI Information

  • NPI: 1609255595
  • Provider Name: JENNIFER ELAINE LOCKWOOD, AGNP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 505 NE 87TH AVE STE 460
    VANCOUVER, WA
    ZIP 98664
  • Phone: (360) 514-7771

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NPI Details

Jennifer Elaine Lockwood, AGNP is a gerontology nurse practitioner in Vancouver, WA with 10 years of experience. Jennifer Elaine Lockwood, AGNP NPI is 1609255595. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

505 NE 87TH AVE STE 460
VANCOUVER, WA
ZIP 98664-965
Phone: (360) 514-7771
Fax: (360) 514-7769

The NPI 1609255595 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)

The enumeration date for this NPI number is 5/25/2015 and was last updated on 10/7/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse632123CALIFORNIANo
2363L00000XNurse Practitioner201802036NP-PPOREGONNo
3363L00000XNurse Practitioner95003105CALIFORNIANo
4363LG0600XNurse PractitionerGerontologyAP60833511WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1500742544MEDICAIDOREGON
22100206MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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