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: July 19, 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
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

Other Identifiers 5

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

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)

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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
12 services12 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.

Orthopaedic Surgery
15755 SW SEQUOIA PKWY STE 200
TIGARD, OR 97224
Physician Assistant
15755 SW SEQUOIA PKWY STE 200
TIGARD, OR 97224
Physician Assistant
15755 SW SEQUOIA PKWY STE 200
TIGARD, OR 97224
Durable Medical Equipment & Medical Supplies
15755 SW SEQUOIA PKWY STE 200
TIGARD, OR 97224

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295818383, enumerated as an "individual" on October 23, 2006.

The provider is located at 15755 SW SEQUOIA PKWY STE 200 TIGARD, OR 97224 and the phone number is (503) 639-6002.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.

Jennifer Van Atta is affiliated with: PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL.