JONATHAN SALGADO MALDONADO
NPI 1902684491
Nurse Practitioner in Tualatin, OR

Q: What is Jonathan Maldonado's NPI number?

The NPI number for Jonathan Maldonado is 1902684491. It was assigned to this individual provider in the NPPES registry on September 18, 2023.

Q: What is Jonathan Maldonado's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since September 18, 2023PECOS EnrolledAccepts Medicare Assignment

19185 SW 90TH AVE, TUALATIN, OR 97062(800) 813-2000 Get Directions Write a Review

NPPES record last updated: October 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Jonathan Salgado Maldonado NPPES

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

JONATHAN SALGADO MALDONADO (NPI 1902684491) is an individual nurse practitioner in Tualatin, Oregon, licensed in Oregon (10015833) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (2023).

NPPES Registry Identity

NPI1902684491

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameJONATHAN SALGADO MALDONADO

Location Address19185 SW 90TH AVETualatin, OR 97062-7558

Mailing Address19185 Sw 90th AveTualatin, OR 97062-7558 · (800) 813-2000

Phone(800) 813-2000

Sole ProprietorNo

Medical School CMSGeorgetown University School Of MedicineGraduated 2023

Enumeration DateSeptember 18, 2023

Last NPPES UpdateOctober 22, 2023

NPPES CertifiedOctober 22, 2023

✔ NPI 1902684491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in OR · 10015833

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

19185 SW 90TH AVE, Tualatin, OR 97062

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan Salgado Maldonado 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 ID5092165209

PECOS Enrollment IDI20240102000330, I20240123003568

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 Jonathan Maldonado reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Beaverton Rehab & Specialty Care, LLC

6.7 mi

Skilled Nursing Facility

11850 SW ALLEN BLVD
Beaverton, OR 97005

Reassigned Medicare billing, Oregon and Washington enrollments
Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
Also billed through NPI 1871848457 (Washington)
3,207 clinicians in this Medicare group

NPI 1366469330 (503) 646-7164

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 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

$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 20

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

MRS. PAM K COCKRELL RPH

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)