AUDRA RACHELLE NORRIS-JACOB MD
NPI 1770809303
Obstetrics & Gynecology in Gresham, OR

Active since April 07, 2010PECOS EnrolledAccepts Medicare Assignment
86.03/100
CMS Quality Rating
24850 SE STARK ST STE 200, GRESHAM, OR 97030(503) 491-9444 Get Directions Write a Review

NPPES record last updated: October 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Audra Rachelle Norris-jacob Md NPPES

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

AUDRA RACHELLE NORRIS-JACOB MD (NPI 1770809303) is an individual obstetrics & gynecology provider in Gresham, Oregon, licensed in Oregon (MD168646) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Legacy Mount Hood Medical Center, and is a graduate of Emory University School Of Medicine (2010).

NPPES Registry Identity

NPI1770809303
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameAUDRA RACHELLE NORRIS-JACOBCredential: MD
Location Address24850 SE STARK ST STE 200Gresham, OR 97030-8320
Mailing Address24850 Se Stark St Ste 200Gresham, OR 97030-8320 · (503) 491-9444
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2010
Enumeration DateApril 7, 2010
Last NPPES UpdateOctober 29, 2019
NPI 1770809303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in OR · MD168646
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
24850 SE STARK ST STE 200, Gresham, OR 97030

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 and accepts Medicare assignment

Audra Rachelle Norris-jacob Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224283791
PECOS Enrollment IDI20150327002611
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Legacy Mount Hood Medical Center

Acute Care Hospitals · Gresham, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380025
Location24800 SE Stark StreetGresham, OR 97030 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97030 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
$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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.8
Promoting Interoperability99
Improvement Activities40
Cost74.15

Other Providers at the Same Location NPPES 14

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

Advanced Practice Midwife
24850 SE STARK ST STE 200
GRESHAM, OR 97030
Advanced Practice Midwife
24850 SE STARK ST STE 200
GRESHAM, OR 97030
Clinic/Center (Health Service)
24850 SE STARK ST STE 200
GRESHAM, OR 97030
Advanced Practice Midwife
24850 SE STARK ST STE 200
GRESHAM, OR 97030
Advanced Practice Midwife
24850 SE STARK ST STE 200
GRESHAM, OR 97030
Advanced Practice Midwife
24850 SE STARK ST STE 200
GRESHAM, OR 97030
Advanced Practice Midwife
24850 SE STARK ST STE 200
GRESHAM, OR 97030
Advanced Practice Midwife
24850 SE STARK ST STE 200
GRESHAM, OR 97030

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 Audra Norris-jacob's NPI number?

The NPI number for Audra Norris-jacob is 1770809303. It was assigned to this individual provider in the NPPES registry on April 7, 2010.

Where is Audra Norris-jacob located?

Audra Norris-jacob practices at 24850 SE Stark St Ste 200, Gresham, OR 97030. The listed phone number is (503) 491-9444.

What is Audra Norris-jacob's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Audra Norris-jacob enrolled in Medicare?

Yes. Audra Norris-jacob is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Audra Norris-jacob accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Audra Norris-jacob 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.

Is Audra Norris-jacob affiliated with any hospitals?

According to CMS data, Audra Norris-jacob is affiliated with Legacy Mount Hood Medical Center.

When was this NPI record last updated?

The NPPES record for Audra Norris-jacob was last updated on October 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.