1. Home
  2. Directory
  3. Oregon
  4. Tualatin
  5. Internal Medicine
  6. NPI Profile

JENNA PETERSON M.D.
NPI 1922460211
Internal Medicine - Critical Care Medicine in Tualatin, OR

Active since March 24, 2016PECOS EnrolledAccepts Medicare Assignment
86.03/100
CMS Quality Rating
19300 SW 65TH AVE, TUALATIN, OR 97062(503) 525-7660 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2021, Sep 7, 2019, Mar 24, 2016 (3 updates tracked since 2016).

About Jenna Peterson M.d. NPPES

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

JENNA PETERSON M.D. (NPI 1922460211) is an individual critical care medicine provider in Tualatin, Oregon, licensed in Oregon (MD203919) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Legacy Emanuel Medical Center, and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1922460211
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameJENNA PETERSONCredential: M.D.
Location Address19300 SW 65TH AVETualatin, OR 97062-7706
Mailing Address9 W Franklin Ave Apt 306Minneapolis, MN 55404-2594 · (509) 481-3217
Phone(503) 525-7660
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 24, 2016
Last NPPES UpdateJuly 8, 20213 updates tracked since enumeration
NPPES CertifiedJuly 8, 2021
✔ NPI 1922460211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in OR · MD203919
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 63421 (MN)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
19300 SW 65TH AVE, Tualatin, OR 97062
Open in Google Maps ↗

Secondary Practice Location 1

Location 1701 Park AveMinneapolis, MN 55415-1623 · Phone (509) 481-3217

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

Jenna Peterson M.d. 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 ID2860785979
PECOS Enrollment IDI20210716000165
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

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
104 services50 patients

Hospital Affiliations CMS Care Compare 2

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

Legacy Emanuel Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380007
Location2801 N Gantenbein AvenuePortland, OR 97227 · Multnomah County
Emergency services Birthing friendly

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
$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.

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.

86.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.8
Promoting Interoperability99
Improvement Activities40
Cost74.15

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.

JOSHUA L FLOYD PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
19300 SW 65TH AVE
TUALATIN, OR 97062
Washington County (503) 692-1212
LEGACY MERIDIAN PARK HOSPITAL
Hospitalist
19300 SW 65TH AVE
TUALATIN, OR 97062
Washington County (503) 692-1212
DEAN KYLE PETERSON MD
Internal Medicine
19300 SW 65TH AVE
TUALATIN, OR 97062
Washington County (503) 413-8407
RACHEL MARTINEZ IBCLC, RLC
Lactation Consultant, Non-RN
19300 SW 65TH AVE
TUALATIN, OR 97062
Washington County (503) 692-7509
PAUL R ASH MD, PH. D
Psychiatry & Neurology (Neurology)
19300 SW 65TH AVE
TUALATIN, OR 97062
Washington County (503) 413-8407
NICOLE ROBERTS PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
19300 SW 65TH AVE
TUALATIN, OR 97062
Washington County (503) 692-2452
DR. MATTHEW MICHAEL TREINEN DO
Radiology (Diagnostic Radiology)
19300 SW 65TH AVE
TUALATIN, OR 97062
Washington County (503) 692-1212
DR. MARCUS PAUL CARR M.D.
Radiology (Diagnostic Radiology)
19300 SW 65TH AVE
TUALATIN, OR 97062
Washington County (503) 692-1212

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 Jenna Peterson's NPI number?

The NPI number for Jenna Peterson is 1922460211. It was assigned to this individual provider in the NPPES registry on March 24, 2016.

Where is Jenna Peterson located?

Jenna Peterson practices at 19300 SW 65th Ave, Tualatin, OR 97062. The listed phone number is (503) 525-7660.

What is Jenna Peterson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Jenna Peterson enrolled in Medicare?

Yes. Jenna Peterson 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.

Is Jenna Peterson affiliated with any hospitals?

According to CMS data, Jenna Peterson is affiliated with Legacy Emanuel Medical Center and Legacy Meridian Park Medical Center.

When was this NPI record last updated?

The NPPES record for Jenna Peterson was last updated on July 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.