Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. JENNIFER ROSE WITTEN NP
NPI 1164113064
Nurse Practitioner - Adult Health in Tigard, OR

Active since May 19, 2023PECOS Enrolled
12540 SW MAIN ST STE 202, TIGARD, OR 97223(503) 906-9995 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 17, 2026, Sep 19, 2024, Oct 2, 2023 and 2 more (5 updates tracked since 2023).

About Mrs. Jennifer Rose Witten Np NPPES

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

MRS. JENNIFER ROSE WITTEN NP (NPI 1164113064) is an individual adult health provider in Tigard, Oregon, licensed in Oregon (10062194) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1164113064
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. JENNIFER ROSE WITTENCredential: NP
Location Address12540 SW MAIN ST STE 202Tigard, OR 97223-6198
Mailing Address12540 Sw Main St Ste 202Portland, OR 97223-6198 · (602) 730-3388
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 19, 2023
Last NPPES UpdateJuly 17, 20265 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
NPI 1164113064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in OR · 10062194
Also ListedNurse PractitionerTaxonomy 363L00000X · License 293252 (AZ)
12540 SW MAIN ST STE 202, Tigard, OR 97223

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 (PECOS)

Mrs. Jennifer Rose Witten Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082183892
PECOS Enrollment IDI20260520003487
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 97223 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 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
12540 SW MAIN ST STE 202
TIGARD, OR 97223
Clinic/Center (Multi-Specialty)
12540 SW MAIN ST STE 202
TIGARD, OR 97223
Peer Specialist
12540 SW MAIN ST STE 202
TIGARD, OR 97223
Peer Specialist
12540 SW MAIN ST STE 202
TIGARD, OR 97223
Peer Specialist
12540 SW MAIN ST STE 202
TIGARD, OR 97223
Counselor (Addiction (Substance Use Disorder))
12540 SW MAIN ST STE 202
PORTLAND, OR 97223
Counselor (Addiction (Substance Use Disorder))
12540 SW MAIN ST STE 202
TIGARD, OR 97223
Internal Medicine
12540 SW MAIN ST STE 202
TIGARD, OR 97223

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 Jennifer Witten's NPI number?

The NPI number for Jennifer Witten is 1164113064. It was assigned to this individual provider in the NPPES registry on May 19, 2023.

Where is Jennifer Witten located?

Jennifer Witten practices at 12540 SW Main St Ste 202, Tigard, OR 97223. The listed phone number is (503) 906-9995.

What is Jennifer Witten's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jennifer Witten enrolled in Medicare?

Yes. Jennifer Witten is registered in the Medicare PECOS enrollment system.

What insurance does Jennifer Witten accept?

Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Jennifer Witten 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 Jennifer Witten was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.