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DR. JODIEY BONDURANT DNP, CPNP-PC/AC, FNP
NPI 1104369917
Nurse Practitioner - Pediatrics in Portland, OR

Active since November 28, 2016PECOS Enrolled
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 494-8122(503) 494-1542 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 19, 2023, Nov 2, 2021, Jun 16, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Jodiey Bondurant Dnp, Cpnp-pc/ac, Fnp NPPES

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

DR. JODIEY BONDURANT DNP, CPNP-PC/AC, FNP (NPI 1104369917) is an individual pediatrics provider in Portland, Oregon, licensed in Oregon (202101747NP-PP) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104369917
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameDR. JODIEY BONDURANTCredential: DNP, CPNP-PC/AC, FNP
Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3011
Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3011 · (503) 494-8122 · Fax (503) 494-1542
Phone(503) 494-8122
Fax(503) 494-1542
Sole ProprietorNo
Enumeration DateNovember 28, 2016
Last NPPES UpdateJuly 19, 20234 updates tracked since enumeration
NPPES CertifiedApril 17, 2023
✔ NPI 1104369917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in OR · 202101747NP-PP✔ Licensed in WA · AP60689542
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 202101747NP-PP (OR)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 202101747NP-PP (OR)
3181 SW SAM JACKSON PARK RD, Portland, OR 97239
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11 Childrens PlSaint Louis, MO 63110-1002 · Phone (314) 454-6336
Location 22100 Madison AveGranite City, IL 62040-4713 · Phone (618) 798-3000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., 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 (PECOS)

Dr. Jodiey Bondurant Dnp, Cpnp-pc/ac, Fnp 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jodiey Bondurant reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Professional Services
Same address
General Practice
3181 SW SAM JACKSON PARK RD
Portland, OR 97239
  • Reassigned Medicare billing, Oregon enrollment
  • 2,212 clinicians in this Medicare group
NPI 1376709535 (503) 494-8311
Portland Adventist Medical Center
6.3 mi
Anesthesiology
10123 SE MARKET ST
Portland, OR 97216
  • Reassigned Medicare billing, Oregon enrollment
  • 331 clinicians in this Medicare group
NPI 1437925310 (503) 251-6136

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 97239 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.

DONALD RICHARD SULLIVAN MD
Internal Medicine (Pulmonary Disease)
3181 SW SAM JACKSON PARK RD, UHN67
PORTLAND, OR 97239
Multnomah County (503) 494-6949
MRS. ANJALEE NIX ROWE NP
Nurse Practitioner (Acute Care)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-3988
REEM HASAN MD
Internal Medicine
3181 SW SAM JACKSON PARK RD, PPV 350
PORTLAND, OR 97239
Multnomah County (503) 494-8562
DR. AMANDA D BALL PSY.D
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
SUNSHINE WELSCH LMT
Massage Therapist
3181 SW SAM JACKSON PARK RD, 7D19
PORTLAND, OR 97239
Multnomah County (503) 494-8349
DR. ROBERT GENE MEALER M.D., PH.D.
Psychiatry & Neurology (Psychiatry)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
GREGORY HALL MD
Radiology (Diagnostic Radiology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 418-0990
DR. BURHAN AHMED MIAN MD
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-8311

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 Jodiey Bondurant's NPI number?

The NPI number for Jodiey Bondurant is 1104369917. It was assigned to this individual provider in the NPPES registry on November 28, 2016.

Where is Jodiey Bondurant located?

Jodiey Bondurant practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-8122.

What is Jodiey Bondurant's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Jodiey Bondurant enrolled in Medicare?

Yes. Jodiey Bondurant is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jodiey Bondurant's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jodiey Bondurant reassigns Medicare benefits to 2 organizations: University Professional Services (Portland, OR) and Portland Adventist Medical Center (Portland, OR). Each 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 Jodiey Bondurant's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jodiey Bondurant accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Jodiey Bondurant 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 Jodiey Bondurant was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.