MS. JENNIFER SUZANNE KELLY MD
NPI 1881802627
Obstetrics & Gynecology in Tualatin, OR

Q: What is Jennifer Kelly's NPI number?

The NPI number for Jennifer Kelly is 1881802627. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Q: What is Jennifer Kelly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Kelly was last updated on January 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 17, 2007PECOS EnrolledAccepts Medicare Assignment

19250 SW 65TH AVE STE 300, TUALATIN, OR 97062(503) 692-1242(503) 691-3615 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 29, 2026, Jun 18, 2016 (2 updates tracked since 2016).

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About Ms. Jennifer Suzanne Kelly Md NPPES

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

MS. JENNIFER SUZANNE KELLY MD (NPI 1881802627) is an individual obstetrics & gynecology provider in Tualatin, Oregon, licensed in Oregon (MD27685) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Legacy Meridian Park Medical Center, and is a graduate of Oregon Health Sciences University School Of Medicine (2005).

NPPES Registry Identity

NPI1881802627

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameMS. JENNIFER SUZANNE KELLYCredential: MD

Location Address19250 SW 65TH AVE STE 300Tualatin, OR 97062-7707

Mailing Address7650 Sw Beveland Rd Ste 200Portland, OR 97223-8692 · (503) 601-3615 · Fax (503) 646-1683

Phone(503) 692-1242

Fax(503) 691-3615

Sole ProprietorNo

Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2005

Enumeration DateMay 17, 2007

Last NPPES UpdateJanuary 29, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 29, 2026

✔ NPI 1881802627 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 · MD27685

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.

19250 SW 65TH AVE STE 300, Tualatin, OR 97062

Open in Google Maps ↗

Other Identifiers 1

Medicaid500623446OR

Accepted Insurance

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

Ms. Jennifer Suzanne Kelly 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 ID7810178993

PECOS Enrollment IDI20110222001093

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 Meridian Park Medical Center

Acute Care Hospitals · Tualatin, OR

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380089

Location19300 SW 65th AvenueTualatin, OR 97062 · Washington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97062 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.

Other Providers at the Same Location NPPES 18

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

NOREEN VALDEZ GRUBER LPC

Counselor (Professional)