JENNIFER KAY BANE PA-C
NPI 1033437298
Physician Assistant - Medical in Portland, OR

Q: What is Jennifer Bane's NPI number?

The NPI number for Jennifer Bane is 1033437298. It was assigned to this individual provider in the NPPES registry on May 12, 2010.

Q: What is Jennifer Bane's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Bane was last updated on December 13, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 12, 2010PECOS Enrolled

511 SW 10TH AVE, SUITE 1301, PORTLAND, OR 97205(503) 228-0155(503) 226-8342 Get Directions Write a Review

NPPES record last updated: December 13, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 13, 2019, Mar 27, 2017 (2 updates tracked since 2017).

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About Jennifer Kay Bane Pa-c NPPES

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

JENNIFER KAY BANE PA-C (NPI 1033437298) is an individual medical provider in Portland, Oregon, licensed in Oregon (173635) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033437298

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameJENNIFER KAY BANECredential: PA-C

Location Address511 SW 10TH AVE, SUITE 1301Portland, OR 97205-2732

Mailing Address511 Sw 10th Ave Ste 1301Portland, OR 97205-2714 · (503) 228-0155 · Fax (503) 226-8342

Phone(503) 228-0155

Fax(503) 226-8342

Sole ProprietorNo

Enumeration DateMay 12, 2010

Last NPPES UpdateDecember 13, 20192 updates tracked since enumeration

✔ NPI 1033437298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in OR · 173635✔ Licensed in WA · PA10004564

Also ListedAllergy & ImmunologyTaxonomy 207K00000X · License PA173635 (OR)

511 SW 10TH AVE, Portland, OR 97205

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Other Identifiers 1

Medicaid2010430WA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Kay Bane Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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