JENNIFER LEE BRANNON (AUDIOLOGIST) – Audiologist, NPI 1104054238

JENNIFER LEE BRANNON (AUDIOLOGIST) is a healthcare provider. based in Portland, Oregon. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUDIOLOGIST. They hold a License No. 23218 (OR). The NPI Number for JENNIFER LEE BRANNON (AUDIOLOGIST) is 1104054238

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER LEE BRANNON (AUDIOLOGIST)
NPI
1104054238
Phone
(503) 963-2801
Address
541 NE 20TH AVE STE 225
Enumeration Date
26 June 2009
Last Update Date
30 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5032396673
Graduation Year
1995 (31 years ago)
PAC ID
7911051933
Group Practice PAC ID
2860390408
Professional Enrollment ID
I20090810000643
Address ID
OR972132990PO5050XHOYT302

Contacts

Secure Messaging
referringwent@orclinic.direct-ci.net
Secure Messaging
cc_otoc_ent_west_front_desk_pool12223135@oc.providencedirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness95
Years active:16State licenses:1Other names

132 QUALIFIED AUDIOLOGIST in OR

Provider Addresses for JENNIFER LEE BRANNON (AUDIOLOGIST)

  • 541 NE 20TH AVE STE 225

    PORTLAND, OR 972322895

    Phone: (503) 963-2801

    Fax: (503) 963-2825

    Type: Mailing

  • 1815 SW MARLOW AVE STE 100

    PORTLAND, OR 972255185

    Phone: (503) 935-8100

    Fax: (503) 935-8110

    Type: Location

  • 5920 NE Ray Cir Ste 220

    Hillsboro, OR 971246313

    Phone: (503) 935-8100

    Fax: (503) 935-8110

    Type: Location

  • 300, Northeast 19th Avenue, Kerns, Portland, Metro, Multnomah County, Oregon, 97232, United States

    PORTLAND, OR 972322686

    Phone: (503) 963-2801

    Fax: (503) 963-2825

    Type: Mailing

  • Southwest Barnes Road, Sylvan-Highlands, Portland, Metro, Multnomah County, Oregon, 97210, United States

    SUITE 536

    PORTLAND, OR 972256625

    Phone: (503) 935-8100

    Fax: (503) 935-8110

    Type: Location

  • 9155 SW BARNES RD STE 356

    PORTLAND, OR 972256625

    Phone: (503) 935-8100

    Fax: (503) 935-8110

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-08-10

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090810000643IQualified AudiologistORTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92557Comprehensive hearing and speech recognition test135130$0
92567Test to assess middle ear function9695$0
92552Test for hearing various pitches using earphone1615$0
View full utilization report →

Insurance plans in this area (ZIP 97232)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860390408View full group profile
NameSpecialtyState
Pulmonary DiseaseOR
-OR
O T O L A R Y N G O L O G YOR
Internal Medicine, GastroenterologyOR
Gastroenterology, Internal MedicineOR
-OR
-OR
Physician AssistantOR
N E U R O S U R G E R YOR
General SurgeryOH

Reviews

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Frequently asked questions

What NPI should I save for JENNIFER LEE BRANNON (AUDIOLOGIST)?
Save NPI 1104054238 if you need a stable reference for JENNIFER LEE BRANNON (AUDIOLOGIST).
Is JENNIFER LEE BRANNON (AUDIOLOGIST) currently active in the NPI registry?
CMS-published data lists JENNIFER LEE BRANNON (AUDIOLOGIST) as an active registrant.
What kind of provider is JENNIFER LEE BRANNON (AUDIOLOGIST)?
The page reflects Audiologist for JENNIFER LEE BRANNON (AUDIOLOGIST). Clinical services aligned with this taxonomy classification.
Does JENNIFER LEE BRANNON (AUDIOLOGIST) practice in Oregon?
You will see Portland, Oregon on file for JENNIFER LEE BRANNON (AUDIOLOGIST) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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