JANNELLE MARIE FUKUJI PA-C
NPI 1396014114
Physician Assistant - Medical in Portland, OR

Active since December 22, 2011PECOS Enrolled
9495 SW LOCUST ST, SUITE A, PORTLAND, OR 97223(503) 696-9011(503) 696-3952 Get Directions Write a Review

NPPES record last updated: March 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jannelle Marie Fukuji Pa-c NPPES

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

JANNELLE MARIE FUKUJI PA-C (NPI 1396014114) is an individual medical provider in Portland, Oregon, licensed in Oregon (PA171607) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396014114
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJANNELLE MARIE FUKUJICredential: PA-C
Location Address9495 SW LOCUST ST, SUITE APortland, OR 97223-6683
Mailing Address9495 Sw Locust St, Suite APortland, OR 97223-6683 · (503) 696-9011 · Fax (503) 696-3952
Fax(503) 696-3952
Sole ProprietorNo
Enumeration DateDecember 22, 2011
Last NPPES UpdateMarch 26, 2019
NPI 1396014114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in OR · PA171607
9495 SW LOCUST ST, Portland, OR 97223

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)

Jannelle Marie Fukuji Pa-c 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.

Areas of Expertise CMS Part B claims 10

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.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
1,956 services39 patients
Professional service for single injection of allergen 95115
A single allergen injection is a procedure where a small amount of a specific allergen is injected into your body. This is done to test your body's reaction to the allergen or to help your immune system become less sensitive to it, reducing allergic symptoms.
412 services89 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
302 services75 patients
Test for allergy using combination of methods with drug or biological 95018
An allergy test with a drug or biological involves multiple methods. Skin tests may be performed where small amounts of allergens are introduced to the skin. Blood tests measure your immune system's response to specific allergens. These tests help identify what substances you're allergic to.
132 services12 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.
120 services99 patients
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.
75 services66 patients

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.

Physician Assistant (Medical)
9495 SW LOCUST ST, SUITE A & E
PORTLAND, OR 97223
Nurse Practitioner (Family)
9495 SW LOCUST ST, SUITE A
PORTLAND, OR 97223
Physician Assistant (Surgical)
9495 SW LOCUST ST, SUITE # A
PORTLAND, OR 97223

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 Jannelle Fukuji's NPI number?

The NPI number for Jannelle Fukuji is 1396014114. It was assigned to this individual provider in the NPPES registry on December 22, 2011.

Where is Jannelle Fukuji located?

Jannelle Fukuji practices at 9495 SW Locust St Suite A, Portland, OR 97223. The listed phone number is (503) 696-9011.

What is Jannelle Fukuji's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jannelle Fukuji enrolled in Medicare?

Yes. Jannelle Fukuji is registered in the Medicare PECOS enrollment system.

What insurance does Jannelle Fukuji accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jannelle Fukuji 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 Jannelle Fukuji was last updated on March 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.