Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jackie B Michael-Havens, NP

Individual provider Family Nurse Practitioner · NPI 1548701600

Jackie B Michael-Havens, NP is a Nurse Practitioner in Brookings, Oregon. Qualified in 2015, 11 years ago. Practices with Pueblo of Jemez, a 22-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
11
Licensed in
OR
In the registry since
2017
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

500 5th St
Brookings, OR 97415-9702
Phone: (541) 412-2000
Fax: (541) 412-2081
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 202000081-NP-PP (OR)

Record details

NPI number1548701600
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 9, 2017
Last updated in NPPESSeptember 3, 2020
Certification dateSeptember 3, 2020
Mailing address500 5th St, Brookings, OR 97415-9702

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Pueblo Of Jemez — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Brookings