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JENNIFER K. VAN ATTA PA
NPI 1295818383
Physician Assistant in Tigard, OR

Active since October 23, 2006PECOS Enrolled
15755 SW SEQUOIA PKWY STE 200, TIGARD, OR 97224(503) 639-6002(503) 639-1403 Get Directions Write a Review

NPPES record last updated: January 25, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jennifer K. Van Atta Pa NPPES

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

JENNIFER K. VAN ATTA PA (NPI 1295818383) is an individual physician assistant in Tigard, Oregon, licensed in Oregon (PA01150) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Providence Hood River Memorial Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1295818383
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNIFER K. VAN ATTACredential: PA
Location Address15755 SW SEQUOIA PKWY STE 200Tigard, OR 97224-7166
Mailing Address15755 Sw Sequoia Pkwy Ste 200Tigard, OR 97224-7166 · (503) 639-6002 · Fax (503) 639-1403
Phone(503) 639-6002
Fax(503) 639-1403
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateOctober 23, 2006
Last NPPES UpdateJanuary 25, 2013
✔ NPI 1295818383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OR · PA01150
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
15755 SW SEQUOIA PKWY STE 200, Tigard, OR 97224
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Other Identifiers 5

Other93-1280904OR · Tax Id
Medicaid500604336OR
Medicaid001920OR
Medicare PINR146833OR
Medicare PINR106488OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.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)

Jennifer K. Van Atta Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052311446
PECOS Enrollment IDI20200831001317
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

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.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Providence Hood River Memorial Hospital

Critical Access Hospitals · Hood River, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number381318
Location810 12th StreetHood River, OR 97031 · Hood River County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97224 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
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
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 4

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

DR. BRIAN L PUSKAS MD
Orthopaedic Surgery
15755 SW SEQUOIA PKWY STE 200
TIGARD, OR 97224
Washington County (503) 639-6002
EMILY ANN GEYEN PA-C
Physician Assistant
15755 SW SEQUOIA PKWY STE 200
TIGARD, OR 97224
Washington County (503) 639-6002
REGENERATIVE ORTHOPEDIC CENTER LLC
Durable Medical Equipment & Medical Supplies
15755 SW SEQUOIA PKWY STE 200
TIGARD, OR 97224
Washington County (503) 656-0836
EMILY ORTIZ PA-C
Physician Assistant
15755 SW SEQUOIA PKWY STE 200
TIGARD, OR 97224
Washington County (503) 639-6002

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 Van Atta's NPI number?

The NPI number for Jennifer Van Atta is 1295818383. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Jennifer Van Atta located?

Jennifer Van Atta practices at 15755 SW Sequoia Pkwy Ste 200, Tigard, OR 97224. The listed phone number is (503) 639-6002.

What is Jennifer Van Atta's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jennifer Van Atta enrolled in Medicare?

Yes. Jennifer Van Atta is registered in the Medicare PECOS enrollment system.

What insurance does Jennifer Van Atta accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jennifer Van Atta 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.

Is Jennifer Van Atta affiliated with any hospitals?

According to CMS data, Jennifer Van Atta is affiliated with Providence Hood River Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Van Atta was last updated on January 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.