JESSICA M BURGESS (PA-C) – Physician Assistant, NPI 1063050540
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for JESSICA M BURGESS (PA-C)
333 SE 7TH AVE STE 2500
HILLSBORO, OR 971234157
Phone: (503) 844-8280
Fax: (503) 621-2235
Type: Location
1776 SW MADISON ST
PORTLAND, OR 972051715
Phone: (503) 224-1044
Fax: (503) 621-2235
Type: Mailing
15 N MORRIS ST
PORTLAND, OR 972271541
Phone: (503) 230-9875
Fax: (503) 230-9877
Type: Location
15 N Morris St
Portland, OR 972271541
Phone: (503) 230-9875
Fax: (503) 230-9877
Type: Location
12360 E Burnside St
Portland, OR 972331042
Phone: (971) 279-4800
Fax: (971) 279-2051
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $102.
Total Amount is formed as General ($102) + Research ($0) + Ownership ($0) = $102.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Acist Medical Systems, Inc. ($44).
Total Amount
$102
General + Research + Ownership
Payments
4
Total payment records
General Amount
$102
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Acist Medical Systems, Inc. | $44 |
| Penumbra, Inc. | $30 |
| Inari Medical, Inc. | $29 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-09-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230921002017 | I | Physician Assistant | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97123)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | OR | |
| Physician Assistant | CA | |
| N E U R O L O G Y | OR | |
| Emergency Medicine | CO | |
| - | OR | |
| Physician Assistant | OR | |
| Physician Assistant | OR | |
| - | OR | |
| Family Practice | OR | |
| Emergency Medicine | OR |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.