MRS. JENNIFER MOON NP
NPI 1073051736
Nurse Practitioner - Family in Oregon City, OR

Q: What is Jennifer Moon's NPI number?

The NPI number for Jennifer Moon is 1073051736. It was assigned to this individual provider in the NPPES registry on February 2, 2017.

Q: What is Jennifer Moon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Moon was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since February 02, 2017PECOS EnrolledAccepts Medicare Assignment

110 BEAVERCREEK RD, OREGON CITY, OR 97045(503) 655-8471 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 21, 2026, Sep 13, 2018, Sep 11, 2017 and 1 more (4 updates tracked since 2017).

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About Mrs. Jennifer Moon Np NPPES

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

MRS. JENNIFER MOON NP (NPI 1073051736) is an individual family provider in Oregon City, Oregon, licensed in Oregon (201707373NP-PP) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, is affiliated with Providence Willamette Falls Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1073051736

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. JENNIFER MOONCredential: NP

Location Address110 BEAVERCREEK RDOregon City, OR 97045-4307

Mailing Address110 Beavercreek RdOregon City, OR 97045-4307 · (503) 655-8471

Phone(503) 655-8471

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateFebruary 2, 2017

Last NPPES UpdateApril 21, 20264 updates tracked since enumeration

NPPES CertifiedApril 21, 2026

✔ NPI 1073051736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OR · 201707373NP-PP

110 BEAVERCREEK RD, Oregon City, OR 97045

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Regence BlueCross BlueShield of Oregon.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

Mrs. Jennifer Moon Np 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 ID6709130693

PECOS Enrollment IDI20181113000077

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 Jennifer Moon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clackamas County

2.6 mi

Federally Qualified Health Center (FQHC)

110 BEAVERCREEK RD STE 100
Oregon City, OR 97045

Reassigned Medicare billing, Oregon enrollment
Medicare enrollment name: County Of Clackamas Office Of County Auditor
130 clinicians in this Medicare group

NPI 1720017809 (503) 655-8471

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

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97045 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.

MELANIE BERTENELLI MD

Family Medicine