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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: November 01, 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
Phone(503) 595-9300
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
Open in Google Maps ↗

Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Jordyn Luttrell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Legacy Emanuel Hospital & Health Center
4.9 mi
General Acute Care Hospital
1225 NE 2ND AVE
Portland, OR 97232
  • Reassigned Medicare billing, Oregon enrollment
  • 719 clinicians in this Medicare group
NPI 1003367491 (503) 944-8000

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 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.

MRS. AVERY ROSE KADAS HUTCHESON
Nurse Practitioner (Pediatrics)
8333 SE 13TH AVE
PORTLAND, OR 97202
Multnomah County (503) 494-9300
DEANNA READ CPNP-PC
Pediatrics
8333 SE 13TH AVE
PORTLAND, OR 97202
Multnomah County (503) 595-9300

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.

Which organization bills Medicare for Jordyn Luttrell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordyn Luttrell reassigns Medicare benefits to Legacy Emanuel Hospital & Health Center (Portland, OR). The 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 Jordyn Luttrell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jordyn Luttrell accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, 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 18 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.