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JACQUELINE ANA LEVENE DO
NPI 1043673866
Internal Medicine in Portland, OR

Active since March 30, 2016PECOS EnrolledAccepts Medicare Assignment
4400 NE HALSEY ST STE 102, PORTLAND, OR 97213(503) 962-1000(503) 962-1005 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2022, Jun 7, 2021, Mar 30, 2016 (3 updates tracked since 2016).

About Jacqueline Ana Levene Do NPPES

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

JACQUELINE ANA LEVENE DO (NPI 1043673866) is an individual internal medicine provider in Portland, Oregon, licensed in Oregon (DO196603) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1043673866
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameJACQUELINE ANA LEVENECredential: DO
Location Address4400 NE HALSEY ST STE 102Portland, OR 97213-1545
Mailing Address4400 Ne Halsey St Ste 102Portland, OR 97213-1545 · (503) 962-1000
Phone(503) 962-1000
Fax(503) 962-1005
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 30, 2016
Last NPPES UpdateOctober 14, 20253 updates tracked since enumeration
NPPES CertifiedOctober 14, 2025
✔ NPI 1043673866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OR · DO196603
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License OT021403 (PA)
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License DO196603 (OR)
4400 NE HALSEY ST STE 102, Portland, OR 97213
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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

Jacqueline Ana Levene Do 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 ID9436400157
PECOS Enrollment IDI20250909002990
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.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

Providence Willamette Falls Medical Center

Acute Care Hospitals · Oregon City, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380038
Location1500 Division StreetOregon City, OR 97045 · Clackamas County
Emergency services Birthing friendly

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

Providence Milwaukie Hospital

Acute Care Hospitals · Milwaukie, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380082
Location10150 SE 32nd AvenueMilwaukie, OR 97222 · Clackamas County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97213 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
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.

CINDY M FULTON PA-C
Physician Assistant
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213
Multnomah County (503) 962-1000
SALEEMAH WAJEEDAH SMITH PA-C
Physician Assistant
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213
Multnomah County (503) 962-1000
KRISTIN H BOURRET PAC
Physician Assistant
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213
Multnomah County (503) 962-1000
DALE DOUGLAS HIRSCH MD
Internal Medicine (Cardiovascular Disease)
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213
Multnomah County (503) 962-1000
DR. JASON SHAWN BENSCH M.D.
Internal Medicine (Cardiovascular Disease)
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213
Multnomah County (503) 962-1000
MR. SHANNON I LEWIS PA C
Physician Assistant
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213
Multnomah County (503) 962-1000
MS. NICOLE N RANSBOTTOM AGACNP
Nurse Practitioner (Acute Care)
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213
Multnomah County (503) 962-1000
CHRISTINA MARIE O'GUINN FNP
Nurse Practitioner (Family)
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213
Multnomah County (503) 962-1000

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 Jacqueline Levene's NPI number?

The NPI number for Jacqueline Levene is 1043673866. It was assigned to this individual provider in the NPPES registry on March 30, 2016.

Where is Jacqueline Levene located?

Jacqueline Levene practices at 4400 NE Halsey St Ste 102, Portland, OR 97213. The listed phone number is (503) 962-1000.

What is Jacqueline Levene's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jacqueline Levene enrolled in Medicare?

Yes. Jacqueline Levene 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.

Is Jacqueline Levene affiliated with any hospitals?

According to CMS data, Jacqueline Levene is affiliated with Providence St Vincent Medical Center, Providence Willamette Falls Medical Center, Providence Portland Medical Center and Providence Milwaukie Hospital.

When was this NPI record last updated?

The NPPES record for Jacqueline Levene was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.