Individual Healthcare Provider
Madeline Jacobs, PMHNP, RN, BSN
Provider's NPPES record last updated: December 3, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1447622477
- Primary Specialty
- Nurse Practitioner — Psychiatric/Mental Health
- Practice Location
- Clackamas, Oregon
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 21, 2026, 2:32 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Psychiatric/Mental Health
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LP0808X Registered Nurse
Psychiatric/Mental Health, Child & Adolescent
Nursing Service Providers
Definition to come...
Taxonomy code 163WP0807X
Provider-Reported License Information
- Nurse Practitioner (Oregon)
- 201809753NP-PP
- Registered Nurse (Oregon)
- 201504614RN
Practice Locations
Practice Location
13568 Se 97th Ave Ste 202
Clackamas, Oregon 97015-6668
Phone: (503) 694-3381
Additional Practice Location
7533 Center View Ct #210
West Jordan, Utah 84084
Phone: (503) 694-3381
Fax: (503) 386-3293
Additional Practice Location
6700 Sw 105th Ave Ste 203
Beaverton, Oregon 97008-8824
Phone: (503) 694-3381
Fax: (503) 386-3293
Record Information
- Enumeration Date
- October 29, 2015
- Provider's NPPES Record Last Updated
- December 3, 2024
- Certification Date
- December 3, 2024
- NPISignal NPPES Dataset
- August 2026
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