JENNIFER PENFIELD NELSON P.A. NPI 1518973015

NPI Information

  • NPI: 1518973015
  • Provider Name: JENNIFER PENFIELD NELSON, P.A.
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2111 NE 25TH AVE INTEL HEALTH FOR LIFE CENTER
    MS:JF-167
    HILLSBORO, OR
    ZIP 97124
  • Phone: (503) 264-8315

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NPI Details

Jennifer Penfield Nelson, P.A. is a medical physician assistant in Hillsboro, OR. Jennifer Penfield Nelson, P.A. NPI is 1518973015. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2111 NE 25TH AVE INTEL HEALTH FOR LIFE CENTER
MS:JF-167
HILLSBORO, OR
ZIP 97124
Phone: (503) 264-8315
Fax: (503) 264-0559

The NPI 1518973015 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/1/2006 and was last updated on 1/3/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantPA00813OREGONNo
2363AM0700XPhysician AssistantMedical00813OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1500617236MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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