DR. JACQUELINE MARIA FENNERTY DPM
NPI 1992871495
Podiatrist in Springfield, OR

Active since November 27, 2006PECOS EnrolledAccepts Medicare Assignment
1435 G ST, SPRINGFIELD, OR 97477(541) 735-9420 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 12, 2023, Mar 17, 2018, Nov 14, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Jacqueline Maria Fennerty Dpm NPPES

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

DR. JACQUELINE MARIA FENNERTY DPM (NPI 1992871495) is an individual podiatrist in Springfield, Oregon, licensed in Oregon (DP00292) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Elmira, and is a graduate of California School Of Podiatric Medicine (1996).

NPPES Registry Identity

NPI1992871495
Entity TypeIndividualFemale
Primary Taxonomy213E00000X
Provider Legal NameDR. JACQUELINE MARIA FENNERTYCredential: DPM
Location Address1435 G STSpringfield, OR 97477-4113
Mailing Address25121 Tripp RdElmira, OR 97437-9612 · (415) 219-3875 · Fax (541) 302-9481
Sole ProprietorYes
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 1996
Enumeration DateNovember 27, 2006
Last NPPES UpdateJanuary 14, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2025
NPI 1992871495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in OR · DP00292
Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

1435 G ST, Springfield, OR 97477

Other Names 1

Professional Name (2)Dr. Jacqueline Maria Kordich Dpm

Secondary Practice Location 1

Location 125121 Tripp RdElmira, OR 97437-9612 · Phone (541) 521-9387 · Fax (541) 302-9481

Other Identifiers 1

Medicaid150584OR

Accepted 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

Dr. Jacqueline Maria Fennerty Dpm 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 ID1254435076
PECOS Enrollment IDI20070403000383
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97477 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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 20

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

Physical Therapist
1435 G ST
SPRINGFIELD, OR 97477
Durable Medical Equipment & Medical Supplies
1435 G ST
SPRINGFIELD, OR 97477
Durable Medical Equipment & Medical Supplies
1435 G ST
SPRINGFIELD, OR 97477
Family Medicine (Sports Medicine)
1435 G ST
SPRINGFIELD, OR 97477
Physical Therapist (Orthopedic)
1435 G ST
SPRINGFIELD, OR 97477
Physical Therapist
1435 G ST
SPRINGFIELD, OR 97477
Community/Behavioral Health
1435 G ST
SPRINGFIELD, OR 97477
Clinic/Center (Adult Mental Health)
1435 G ST
SPRINGFIELD, OR 97477

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992871495, enumerated as an "individual" on November 27, 2006.

The provider is located at 1435 G ST SPRINGFIELD, OR 97477 and the phone number is (541) 735-9420.

Podiatrist with taxonomy code 213E00000X.

The provider might be accepting Accepts: BridgeSpan Health Company, PacificSource Health. Please consult your insurance carrier or call the provider to verify.