JESSICA LILLIANA BAUTISTA NP
NPI 1184485492
Nurse Practitioner - Gerontology in Portland, OR

Active since January 23, 2024PECOS EnrolledAccepts Medicare Assignment
9155 SW BARNES RD STE 238, PORTLAND, OR 97225(503) 215-9297 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 5, 2025, Oct 9, 2024, Jul 29, 2024 and 1 more (4 updates tracked since 2024).

About Jessica Lilliana Bautista Np NPPES

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

JESSICA LILLIANA BAUTISTA NP (NPI 1184485492) is an individual gerontology provider in Portland, Oregon, licensed in Oregon (10020493) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1184485492
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameJESSICA LILLIANA BAUTISTACredential: NP
Location Address9155 SW BARNES RD STE 238Portland, OR 97225
Mailing Address9155 Sw Barnes Rd Ste 238Portland, OR 97225-6629 · (503) 215-9297
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 23, 2024
Last NPPES UpdateAugust 20, 20254 updates tracked since enumeration
NPPES CertifiedAugust 20, 2025
NPI 1184485492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in OR · 10020493
Also ListedNurse PractitionerTaxonomy 363L00000X · License 10020493 (OR)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 10020493 (OR)
9155 SW BARNES RD STE 238, Portland, OR 97225

Other Names 1

Former Name (1)Jessica Bautista Nagaoka Np

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

Jessica Lilliana Bautista 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 ID3375980642
PECOS Enrollment IDI20240321003109
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services19 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
23 services15 patients

Hospital Affiliations CMS Care Compare 2

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 Seaside Hospital

Critical Access Hospitals · Seaside, OR
OwnershipVoluntary non-profit - Church
CMS Certification Number381303
Location725 S Wahanna RoadSeaside, OR 97138 · Clatsop County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97225 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 12

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

Health Educator
9155 SW BARNES RD STE 238
PORTLAND, OR 97225
Health Educator
9155 SW BARNES RD STE 238
PORTLAND, OR 97225
Internal Medicine (Medical Oncology)
9155 SW BARNES RD STE 238
PORTLAND, OR 97225
Physician Assistant
9155 SW BARNES RD STE 238
PORTLAND, OR 97225
Internal Medicine
9155 SW BARNES RD STE 238
PORTLAND, OR 97225
Genetic Counselor, MS
9155 SW BARNES RD STE 238
PORTLAND, OR 97225
Surgery (Surgical Oncology)
9155 SW BARNES RD STE 238
PORTLAND, OR 97225
Naturopath
9155 SW BARNES RD STE 238
PORTLAND, OR 97225

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 Jessica Bautista's NPI number?

The NPI number for Jessica Bautista is 1184485492. It was assigned to this individual provider in the NPPES registry on January 23, 2024. The provider is also known as Jessica Bautista Nagaoka Np.

Where is Jessica Bautista located?

Jessica Bautista practices at 9155 SW Barnes Rd Ste 238, Portland, OR 97225. The listed phone number is (503) 215-9297.

What is Jessica Bautista's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Jessica Bautista enrolled in Medicare?

Yes. Jessica Bautista 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 Jessica Bautista affiliated with any hospitals?

According to CMS data, Jessica Bautista is affiliated with Providence St Vincent Medical Center and Providence Seaside Hospital.

When was this NPI record last updated?

The NPPES record for Jessica Bautista was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.