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JACQUELYNN CAROL HARRIS D.O.
NPI 1336236868
Family Medicine in Newberg, OR

Active since October 06, 2006PECOS Enrolled
901 BRUTSCHER ST, D163, NEWBERG, OR 97132(503) 625-9190 Get Directions Write a Review

NPPES record last updated: December 11, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jacquelynn Carol Harris D.o. NPPES

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

JACQUELYNN CAROL HARRIS D.O. (NPI 1336236868) is an individual family medicine provider in Newberg, Oregon, licensed in Oregon (DO29050) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336236868
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJACQUELYNN CAROL HARRISCredential: D.O.
Location Address901 BRUTSCHER ST, D163Newberg, OR 97132-6096
Mailing Address901 Brutscher St, D163Newberg, OR 97132-6096 · (503) 625-9190
Phone(503) 625-9190
Sole ProprietorNo
Enumeration DateOctober 6, 2006
Last NPPES UpdateDecember 11, 2015
✔ NPI 1336236868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in OR · DO29050✔ Licensed in TX · K3747
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
901 BRUTSCHER ST, Newberg, OR 97132
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Other Identifiers 1

Medicare UPINE94212TX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacquelynn Carol Harris D.o. 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 Jacquelynn Harris reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northwest Medical Foundation Of Tillamook
23 mi
Rural Health
12350 NW MAIN ST STE 112
Banks, OR 97106
  • Reassigned Medicare billing, Oregon enrollment
  • 206 clinicians in this Medicare group
NPI 1043740616 (503) 842-4444

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 97132 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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 3

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

DR. MARY ANN TACK D.C.
Chiropractor
901 BRUTSCHER ST, STE 210
NEWBERG, OR 97132
Yamhill County (503) 537-2052
PATRICIA A WARFORD
Psychologist
901 BRUTSCHER ST, SUITE 214
NEWBERG, OR 97132
Yamhill County (503) 554-8172
PATRICIA WARFORD PSYD, LLC
Community/Behavioral Health
901 BRUTSCHER ST, SUITE 214
NEWBERG, OR 97132
Yamhill County (503) 554-8172

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 Jacquelynn Harris's NPI number?

The NPI number for Jacquelynn Harris is 1336236868. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Jacquelynn Harris located?

Jacquelynn Harris practices at 901 Brutscher St D163, Newberg, OR 97132. The listed phone number is (503) 625-9190.

What is Jacquelynn Harris's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jacquelynn Harris enrolled in Medicare?

Yes. Jacquelynn Harris is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacquelynn Harris's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelynn Harris reassigns Medicare benefits to Northwest Medical Foundation Of Tillamook (Banks, 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 Jacquelynn Harris's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacquelynn Harris was last updated on December 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.