JENNIFER ERIN BRAY (F.N.P.) – Family Nurse Practitioner, NPI 1407868805
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
3,366 NURSE PRACTITIONER in OR
Provider Addresses for JENNIFER ERIN BRAY (F.N.P.)
2255 NW Shevlin Park Rd Ste 110
Bend, OR 977037134
Phone: (541) 728-2525
Fax: (503) 917-4971
Type: Location
16100 NW Cornell Rd Ste 190
Beaverton, OR 970068104
Phone: (971) 405-5960
Fax: (971) 405-5961
Type: Location
6400 SE LAKE RD STE 155
PORTLAND, OR 972222137
Phone: (971) 358-9292
Fax: (503) 917-4971
Type: Mailing
Southwest Barnes Road, Sylvan-Highlands, Portland, Metro, Multnomah County, Oregon, 97210, United States
SUITE 202
PORTLAND, OR 972256623
Phone: (503) 297-6334
Fax: (503) 297-2360
Type: Mailing
Providence Portland Medical Center, 4805, Northeast Glisan Street, North Tabor, Portland, Metro, Multnomah County, Oregon, 97213, United States
PORTLAND, OR 972132933
Phone: (503) 297-6334
Fax: (503) 297-2360
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $17.
Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.
Last reported payment date: 2024-06-26 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($17).
Total Amount
$17
General + Research + Ownership
Payments
1
Total payment records
General Amount
$17
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neurocrine BioSciences Inc. | $17 |
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: 2004-03-27
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 |
|---|---|---|---|---|
| I20040327000355 | I | Nurse Practitioner | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 96127 | Assessment of emotional or behavioral problems | 188 | 12 | $0 |
| G2083 | Office or other outpatient visit for the evaluation and management of an established patient that requires the supervision of a physician or other qualified health care professional and provision of greater than 56 mg esketamine nasal self-administration, | 120 | 12 | $0 |
Insurance plans in this area (ZIP 97703)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OR | |
| Nurse Practitioner | OR | |
| Nurse Practitioner | OR | |
| Nurse Practitioner | OR | |
| Nurse Practitioner | OR | |
| Nurse Practitioner | OR | |
| Nurse Practitioner | OR | |
| Nurse Practitioner | OR |
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