JASUDHA RANABHAT NP
NPI 1619636388
Nurse Practitioner - Gerontology in Milwaukie, OR

Active since December 09, 2021PECOS Enrolled
12045 SE STANLEY AVE, MILWAUKIE, OR 97222(503) 659-2323 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jasudha Ranabhat Np NPPES

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

JASUDHA RANABHAT NP (NPI 1619636388) is an individual gerontology provider in Milwaukie, Oregon, licensed in Oregon (202112438NP-PP) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619636388
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameJASUDHA RANABHATCredential: NP
Location Address12045 SE STANLEY AVEMilwaukie, OR 97222-2938
Mailing Address16442 Sw 132nd TerTigard, OR 97224-3080 · (503) 473-6975
Sole ProprietorNo
Enumeration DateDecember 9, 2021
NPPES CertifiedDecember 9, 2021
✔ NPI 1619636388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in OR · 202112438NP-PP
12045 SE STANLEY AVE, Milwaukie, OR 97222

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jasudha Ranabhat Np 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 Reassignments

3

Medicare enrollment records show Jasudha Ranabhat reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geriatric Medicine
4560 SE INTERNATIONAL WAY, SUITE 100
Milwaukie, OR 97222
  • Reassigned Medicare billing, Oregon enrollment
  • 37 clinicians in this Medicare group
Hospice Care, Community Based
1015 3RD ST NW
Salem, OR 97304
  • Reassigned Medicare billing, Oregon enrollment
  • 7 clinicians in this Medicare group
Hospice and Palliative Medicine
400 INTERNATIONAL WAY STE 200
Springfield, OR 97477
  • Reassigned Medicare billing, Oregon enrollment
  • Medicare enrollment name: Bristol Advanced Illness Management - Oregon LLC
  • 14 clinicians in this Medicare group

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 97222 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
$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.

Other Providers at the Same Location NPPES 20

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

Physical Therapist
12045 SE STANLEY AVE
MILWAUKIE, OR 97222
Physical Therapist
12045 SE STANLEY AVE
PORTLAND, OR 97222
Registered Nurse (General Practice)
12045 SE STANLEY AVE
MILWAUKIE, OR 97222
Registered Nurse
12045 SE STANLEY AVE
MILWAUKIE, OR 97222
Skilled Nursing Facility
12045 SE STANLEY AVE
MILWAUKIE, OR 97222
Registered Nurse
12045 SE STANLEY AVE
MILWAUKIE, OR 97222
Speech-Language Pathologist
12045 SE STANLEY AVE
MILWAUKIE, OR 97222
Community Health Worker
12045 SE STANLEY AVE
MILWAUKIE, OR 97222

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 Jasudha Ranabhat's NPI number?

The NPI number for Jasudha Ranabhat is 1619636388. It was assigned to this individual provider in the NPPES registry on December 9, 2021.

Where is Jasudha Ranabhat located?

Jasudha Ranabhat practices at 12045 SE Stanley Ave, Milwaukie, OR 97222. The listed phone number is (503) 659-2323.

What is Jasudha Ranabhat's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Jasudha Ranabhat enrolled in Medicare?

Yes. Jasudha Ranabhat is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jasudha Ranabhat's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jasudha Ranabhat reassigns Medicare benefits to 3 organizations: Marquis Clinical Services LLC (Milwaukie, OR), Willamette Valley Hospice Inc (Salem, OR) and Bristol Advanced Illness Management - Oregon, L.L.C. (Springfield, OR). Each 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 Jasudha Ranabhat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jasudha Ranabhat accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Jasudha Ranabhat 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 Jasudha Ranabhat was last updated on December 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.