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JENNIFER RAYBIN PNP
NPI 1205911948
Nurse Practitioner - Pediatrics in Portland, OR

Active since October 25, 2006PECOS Enrolled
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 418-5150(503) 418-5165 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 10, 2022, Aug 2, 2022, Jul 15, 2022 (3 updates tracked since 2022).

About Jennifer Raybin Pnp NPPES

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

JENNIFER RAYBIN PNP (NPI 1205911948) is an individual pediatrics provider in Portland, Oregon, licensed in Oregon (202209935NP-PP) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1205911948
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJENNIFER RAYBINCredential: PNP
Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3011
Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3011 · (503) 418-5150 · Fax (503) 418-5165
Phone(503) 418-5150
Fax(503) 418-5165
Sole ProprietorNo
Enumeration DateOctober 25, 2006
Last NPPES UpdateAugust 10, 20223 updates tracked since enumeration
NPPES CertifiedAugust 10, 2022
✔ NPI 1205911948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in OR · 202209935NP-PP✔ Licensed in CO · 122904
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 202209935NP-PP (OR)
3181 SW SAM JACKSON PARK RD, Portland, OR 97239
Open in Google Maps ↗

Other Names 1

Former Name (1)Jennifer Madden Pnp

Secondary Practice Location 1

Location 1700 SW Campus DrPortland, OR 97239-3107 · Phone (303) 204-0912

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Raybin Pnp 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 Reassignment

Medicare enrollment records show Jennifer Raybin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

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

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 Jennifer Raybin's NPI number?

The NPI number for Jennifer Raybin is 1205911948. It was assigned to this individual provider in the NPPES registry on October 25, 2006. The provider is also known as Jennifer Madden Pnp.

Where is Jennifer Raybin located?

Jennifer Raybin practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 418-5150.

What is Jennifer Raybin's specialty?

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

Is Jennifer Raybin enrolled in Medicare?

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

Which organization bills Medicare for Jennifer Raybin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Raybin reassigns Medicare benefits to University Professional Services (Portland, OR). The 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 Jennifer Raybin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Raybin accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Jennifer Raybin 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 Raybin was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.