JESUS CARRILLO
NPI 1013782788
Physician Assistant in Woodburn, OR

Active since November 22, 2023PECOS EnrolledAccepts Medicare Assignment
1175 MOUNT HOOD AVE, WOODBURN, OR 97071(503) 982-2000 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jesus Carrillo NPPES

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

JESUS CARRILLO (NPI 1013782788) is an individual physician assistant in Woodburn, Oregon, licensed in Oregon (PA222434) and active in the NPI registry since November 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1013782788
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJESUS CARRILLO
Location Address1175 MOUNT HOOD AVEWoodburn, OR 97071-9060
Mailing AddressPo Box 190Toppenish, WA 98948-0190 · (509) 865-2395
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 22, 2023
Last NPPES UpdateJanuary 15, 2025
NPPES CertifiedJanuary 15, 2025
NPI 1013782788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OR · PA222434
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedFamily MedicineTaxonomy 207Q00000X · License PA222434 (OR)
1175 MOUNT HOOD AVE, Woodburn, OR 97071

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jesus Carrillo 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 ID3870022122
PECOS Enrollment IDI20250130003995
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97071 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
Most-billed visit code 99213
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.

Community Health Worker
1175 MOUNT HOOD AVE
WOODBURN, OR 97071
Dentist
1175 MOUNT HOOD AVE
WOODBURN, OR 97071
Community Health Worker
1175 MOUNT HOOD AVE
WOODBURN, OR 97071
Nurse Practitioner
1175 MOUNT HOOD AVE
WOODBURN, OR 97071
Registered Nurse (Community Health)
1175 MOUNT HOOD AVE
WOODBURN, OR 97071
Dentist
1175 MOUNT HOOD AVE
WOODBURN, OR 97071
Pharmacist
1175 MOUNT HOOD AVE
WOODBURN, OR 97071
Psychologist
1175 MOUNT HOOD AVE
WOODBURN, OR 97071

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 Jesus Carrillo's NPI number?

The NPI number for Jesus Carrillo is 1013782788. It was assigned to this individual provider in the NPPES registry on November 22, 2023.

Where is Jesus Carrillo located?

Jesus Carrillo practices at 1175 Mount Hood Ave, Woodburn, OR 97071. The listed phone number is (503) 982-2000.

What is Jesus Carrillo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jesus Carrillo enrolled in Medicare?

Yes. Jesus Carrillo 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.

What insurance does Jesus Carrillo accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Jesus Carrillo 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 Jesus Carrillo was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.