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MS. JESSICA ANNE DEJONG PA-C
NPI 1780285221
Physician Assistant in Portland, OR

Active since November 02, 2020PECOS Enrolled
87.76/100
CMS Quality Rating
1111 NE 99TH AVE STE 201, PORTLAND, OR 97220(503) 962-1000 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 9, 2021, Feb 12, 2021, Nov 2, 2020 (3 updates tracked since 2020).

About Ms. Jessica Anne Dejong Pa-c NPPES

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

MS. JESSICA ANNE DEJONG PA-C (NPI 1780285221) is an individual physician assistant in Portland, Oregon, licensed in Oregon (PA200546) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780285221
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. JESSICA ANNE DEJONGCredential: PA-C
Location Address1111 NE 99TH AVE STE 201Portland, OR 97220-9442
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494
Phone(503) 962-1000
Sole ProprietorNo
Enumeration DateNovember 2, 2020
Last NPPES UpdateMarch 9, 20213 updates tracked since enumeration
NPPES CertifiedMarch 9, 2021
✔ NPI 1780285221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OR · PA200546
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA200546 (OR)
1111 NE 99TH AVE STE 201, Portland, OR 97220
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jessica Anne Dejong 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97220 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
$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.

87.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.17
Promoting Interoperability100
Improvement Activities40
Cost74.03

Other Providers at the Same Location NPPES 2

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

JASON ROLAND WOLLMUTH M.D.
Internal Medicine (Interventional Cardiology)
1111 NE 99TH AVE STE 201
PORTLAND, OR 97220
Multnomah County (503) 962-1000
PAOLO PILAR GABRIEL M.D.
Internal Medicine (Cardiovascular Disease)
1111 NE 99TH AVE STE 201
PORTLAND, OR 97220
Multnomah County (503) 962-1000

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 Jessica Dejong's NPI number?

The NPI number for Jessica Dejong is 1780285221. It was assigned to this individual provider in the NPPES registry on November 2, 2020.

Where is Jessica Dejong located?

Jessica Dejong practices at 1111 NE 99th Ave Ste 201, Portland, OR 97220. The listed phone number is (503) 962-1000.

What is Jessica Dejong's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jessica Dejong enrolled in Medicare?

Yes. Jessica Dejong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Dejong was last updated on March 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.