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ASHLEY R JORDAN
NPI 1003588047
Nurse Practitioner - Family in Clackamas, OR

Active since September 28, 2021PECOS EnrolledAccepts Medicare Assignment
9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(800) 813-2000 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 19, 2025, Sep 28, 2021 (2 updates tracked since 2021).

About Ashley R Jordan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASHLEY R JORDAN (NPI 1003588047) is an individual family provider in Clackamas, Oregon, licensed in Oregon (202206265NPPP) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Clackamas, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1003588047
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameASHLEY R JORDAN
Location Address9800 SE SUNNYSIDE RDClackamas, OR 97015-9750
Mailing Address500 Ne Multnomah St Ste 100Portland, OR 97232-2031
Phone(800) 813-2000
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 28, 2021
Last NPPES UpdateNovember 19, 20252 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
✔ NPI 1003588047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OR · 202206265NPPP
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
9800 SE SUNNYSIDE RD, Clackamas, OR 97015
Open in Google Maps ↗

Secondary Practice Location 1

Location 110180 SE Sunnyside RdClackamas, OR 97015-8970 · Phone (503) 813-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ashley R Jordan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870977952
PECOS Enrollment IDI20220908003665, I20250102002852
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ashley Jordan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of The Northwest
0.1 mi
Sleep Disorder Diagnostic
9717 SE SUNNYSIDE RD, 3RD FLOOR
Clackamas, OR 97015
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • Also billed through NPI 1871848457 (Washington)
  • 3,207 clinicians in this Medicare group
NPI 1174851505 (503) 659-2454

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL HOLLENBACK P.A.-C.
Physician Assistant (Surgical)
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 653-6440
DR. CALVERT JOHN SHIPLEY M.D.
Family Medicine
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 653-6440
JAY JOO M.D.
Pediatrics
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 813-2000
TRISHA ZANDER
Student in an Organized Health Care Education/Training Program
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 813-1319
NATASHA WARIKOO PHD
Student in an Organized Health Care Education/Training Program
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (800) 813-2000
THANH VAN HOANG PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 571-8879
HANNAH LARSEN
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 571-8879
DR. LISA BURTON MD
Family Medicine
9800 SE SUNNYSIDE RD, MT SCOTT MEDICAL OFFICE
CLACKAMAS, OR 97015
Clackamas County (503) 652-2880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ashley Jordan's NPI number?

The NPI number for Ashley Jordan is 1003588047. It was assigned to this individual provider in the NPPES registry on September 28, 2021.

Where is Ashley Jordan located?

Ashley Jordan practices at 9800 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (800) 813-2000.

What is Ashley Jordan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ashley Jordan enrolled in Medicare?

Yes. Ashley Jordan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Ashley Jordan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Jordan reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Northwest (Clackamas, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ashley Jordan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashley Jordan accept?

Health plans from Kaiser Permanente list Ashley Jordan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ashley Jordan was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.