JANNELLE MARIE FUKUJI (PA-C) – Medical Physician Assistant, NPI 1396014114
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JANNELLE MARIE FUKUJI (PA-C)
9495 SW LOCUST ST
SUITE A
PORTLAND, OR 972236683
Phone: (503) 696-9011
Fax: (503) 696-3952
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 55 Open Payments records for all available years, with a total value of $5,020.
Total Amount is formed as General ($5,020) + Research ($0) + Ownership ($0) = $5,020.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Genentech USA, Inc. ($3,193).
Total Amount
$5,020
General + Research + Ownership
Payments
55
Total payment records
General Amount
$5,020
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Genentech USA, Inc. | $3,193 |
| AstraZeneca Pharmaceuticals LP | $723 |
| Novartis Pharmaceuticals Corporation | $238 |
| Genentech, Inc. | $190 |
| GENZYME CORPORATION | $186 |
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: 2021-02-08
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 |
|---|---|---|---|---|
| I20210208002740 | I | Physician Assistant | WA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 95004 | Test for allergy using allergenic extract | 2,446 | 53 | $0 |
| 95115 | Professional service for single injection of allergen | 480 | 95 | $0 |
| 95117 | Professional service for multiple injections of allergen | 342 | 82 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 146 | 111 | $0 |
| 94010 | Test to measure expiratory airflow and volume | 72 | 59 | $0 |
Insurance plans in this area (ZIP 97223)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| - | OR | |
| Physician Assistant | OR | |
| Physician Assistant | OR | |
| A L L E R G Y/ I M M U N O L O G Y | OR | |
| - | WA | |
| - | OR | |
| A L L E R G Y/ I M M U N O L O G Y | OR |
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