DR. JACQUELYN ROSE DUNN D.O.
NPI 1609213461
Internal Medicine in Portland, OR

Active since June 03, 2013PECOS Enrolled
1130 NW 22ND AVE STE 220, PORTLAND, OR 97210(503) 413-9899 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jacquelyn Rose Dunn D.o. NPPES

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

DR. JACQUELYN ROSE DUNN D.O. (NPI 1609213461) is an individual internal medicine provider in Portland, Oregon, licensed in Oregon (DO179110) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609213461
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. JACQUELYN ROSE DUNNCredential: D.O.
Location Address1130 NW 22ND AVE STE 220Portland, OR 97210-2969
Mailing Address12264 Nw Kearney StPortland, OR 97229-4942 · (503) 990-9106
Sole ProprietorYes
Enumeration DateJune 3, 2013
Last NPPES UpdateApril 10, 2023
NPPES CertifiedApril 10, 2023
NPI 1609213461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OR · DO179110
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1130 NW 22ND AVE STE 220, Portland, OR 97210

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jacquelyn Rose Dunn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97210 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers39 claims39 services$193.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

Nurse Practitioner (Family)
1130 NW 22ND AVE STE 220
PORTLAND, OR 97210
Internal Medicine
1130 NW 22ND AVE STE 220
PORTLAND, OR 97210
Social Worker (Clinical)
1130 NW 22ND AVE STE 220
PORTLAND, OR 97210
Social Worker (Clinical)
1130 NW 22ND AVE STE 220
PORTLAND, OR 97210
Internal Medicine
1130 NW 22ND AVE STE 220
PORTLAND, OR 97210
Pharmacist (Ambulatory Care)
1130 NW 22ND AVE STE 220
PORTLAND, OR 97210
Internal Medicine
1130 NW 22ND AVE STE 220
PORTLAND, OR 97210
Internal Medicine
1130 NW 22ND AVE STE 220
PORTLAND, OR 97210

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 Jacquelyn Dunn's NPI number?

The NPI number for Jacquelyn Dunn is 1609213461. It was assigned to this individual provider in the NPPES registry on June 3, 2013.

Where is Jacquelyn Dunn located?

Jacquelyn Dunn practices at 1130 NW 22nd Ave Ste 220, Portland, OR 97210. The listed phone number is (503) 413-9899.

What is Jacquelyn Dunn's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jacquelyn Dunn enrolled in Medicare?

Yes. Jacquelyn Dunn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacquelyn Dunn was last updated on April 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.