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JENNIFER BOTELHO PA-C
NPI 1891782751
Physician Assistant - Surgical in Portland, OR

Active since October 05, 2005PECOS EnrolledAccepts Medicare Assignment
93.57/100
CMS Quality Rating
1130 NW 22ND AVE STE 535, PORTLAND, OR 97210(503) 274-4999 Get Directions Write a Review

NPPES record last updated: August 26, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jennifer Botelho Pa-c NPPES

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

JENNIFER BOTELHO PA-C (NPI 1891782751) is an individual surgical provider in Portland, Oregon, licensed in Oregon (PA00838) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1891782751
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameJENNIFER BOTELHOCredential: PA-C
Location Address1130 NW 22ND AVE STE 535Portland, OR 97210-2976
Mailing Address1130 Nw 22nd Ave Ste 535Portland, OR 97210-2976 · (503) 274-4999
Phone(503) 274-4999
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateOctober 5, 2005
Last NPPES UpdateAugust 26, 2011
✔ NPI 1891782751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in OR · PA00838
1130 NW 22ND AVE STE 535, Portland, OR 97210
Open in Google Maps ↗

Other Identifiers 5

Other191806OR · Doli
Medicare ID-Type Unspecified118153OR
Medicaid8404378WA
MedicaidPA00838OR
Medicare UPINP73533

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. 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

Jennifer Botelho Pa-c 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 ID6800860842
PECOS Enrollment IDI20040824001357
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
41 services37 patients
Established patient office or other outpatient visit, 40-54 minutes 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

St Charles Medical Center - Bend

Acute Care Hospitals · Bend, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380047
Location2500 NE Neff RoadBend, OR 97701 · Deschutes County
Emergency services Birthing friendly

Adventist Health Portland

Acute Care Hospitals · Portland, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380060
Location10123 SE Market StreetPortland, OR 97216 · Multnomah County
Emergency services Birthing friendly

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.

93.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.33
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
50%26 patients2/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%939 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Jennifer Botelho's NPI number?

The NPI number for Jennifer Botelho is 1891782751. It was assigned to this individual provider in the NPPES registry on October 5, 2005.

Where is Jennifer Botelho located?

Jennifer Botelho practices at 1130 NW 22nd Ave Ste 535, Portland, OR 97210. The listed phone number is (503) 274-4999.

What is Jennifer Botelho's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jennifer Botelho enrolled in Medicare?

Yes. Jennifer Botelho 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 Jennifer Botelho accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Jennifer Botelho 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 Jennifer Botelho affiliated with any hospitals?

According to CMS data, Jennifer Botelho is affiliated with Ohsu Hospital And Clinics, St Charles Medical Center - Bend and Adventist Health Portland.

When was this NPI record last updated?

The NPPES record for Jennifer Botelho was last updated on August 26, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.