JORDYN LUTTRELL
NPI 1831861541
Nurse Practitioner - Pediatrics in Portland, OR

Active since September 30, 2021PECOS Enrolled
8333 SE 13TH AVE, PORTLAND, OR 97202(503) 595-9300 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 8, 2023, Sep 30, 2021 (2 updates tracked since 2021).

About Jordyn Luttrell NPPES

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

JORDYN LUTTRELL (NPI 1831861541) is an individual pediatrics provider in Portland, Oregon, licensed in Oregon (10015135) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1831861541
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJORDYN LUTTRELL
Location Address8333 SE 13TH AVEPortland, OR 97202-7101
Mailing AddressPo Box 4399Portland, OR 97208-4399
Sole ProprietorNo
Enumeration DateSeptember 30, 2021
Last NPPES UpdateApril 14, 20252 updates tracked since enumeration
NPPES CertifiedApril 14, 2025
NPI 1831861541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in OR · 10015135
Also ListedNurse PractitionerTaxonomy 363L00000X · License 10015135 (OR)
8333 SE 13TH AVE, Portland, OR 97202

Secondary Practice Location 1

Location 12800 N Vancouver Ave Ste 165Portland, OR 97227 · Phone (503) 413-2902

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)

Jordyn Luttrell 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 97202 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 2

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

Nurse Practitioner (Pediatrics)
8333 SE 13TH AVE
PORTLAND, OR 97202
Pediatrics
8333 SE 13TH AVE
PORTLAND, OR 97202

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 Jordyn Luttrell's NPI number?

The NPI number for Jordyn Luttrell is 1831861541. It was assigned to this individual provider in the NPPES registry on September 30, 2021.

Where is Jordyn Luttrell located?

Jordyn Luttrell practices at 8333 SE 13th Ave, Portland, OR 97202. The listed phone number is (503) 595-9300.

What is Jordyn Luttrell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Jordyn Luttrell enrolled in Medicare?

Yes. Jordyn Luttrell is registered in the Medicare PECOS enrollment system.

What insurance does Jordyn Luttrell accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jordyn Luttrell 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 Jordyn Luttrell was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.