JENNA EMERSON (MD) – Gynecologic Oncology Physician, NPI 1457791154

JENNA EMERSON (MD) is a healthcare provider. based in Portland, Oregon. specializing in OBSTETRICS/GYNECOLOGY, GYNECOLOGICAL ONCOLOGY. They hold the professional credentials MD. They hold a License No. MD197593 (OR). The NPI Number for JENNA EMERSON (MD) is 1457791154

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
JENNA EMERSON (MD)
NPI
1457791154
Phone
(503) 418-4500
Address
3181 SW SAM JACKSON PARK RD
Enumeration Date
27 June 2013
Last Update Date
24 October 2024

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5032801223
Graduation Year
2013 (13 years ago)
PAC ID
3678879129
Group Practice PAC ID
8426943838
Professional Enrollment ID
I20200629003793
Address ID
OR972271800PO265XXBROA300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

632 OBSTETRICS/GYNECOLOGY in OR

Provider Addresses for JENNA EMERSON (MD)

  • 3181 SW SAM JACKSON PARK RD

    PORTLAND, OR 972393011

    Phone: (503) 418-4500

    Fax: (503) 494-4473

    Type: Mailing

  • 1498 SE TECH CENTER PL STE 240

    VANCOUVER, WA 986835508

    Phone:

    Type: Mailing

  • 265 N BROADWAY

    PORTLAND, OR 972271800

    Phone: (503) 280-1223

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $183.

Total Amount is formed as General ($183) + Research ($0) + Ownership ($0) = $183.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($183).

Total Amount

$183

General + Research + Ownership

Payments

2

Total payment records

General Amount

$183

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GlaxoSmithKline, LLC.$183
View all Open Payments →|Open Payments Risk Radar →

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: 2024-09-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20200629003793IObstetrics/GynecologyORTBD
I20240908000095IGynecological OncologyWATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1611$0
View full utilization report →

Insurance plans in this area (ZIP 97239)

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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: 8426943838View full group profile
NameSpecialtyState
Radiation OncologyOR
Medical Oncology, Internal MedicineOR
-OR
-OR
Radiation OncologyWA
Physician AssistantCA
General SurgeryWA
-WA
Physician AssistantOR
Radiation OncologyGA

Reviews

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Frequently asked questions

Is there an official ID for JENNA EMERSON (MD) in U.S. healthcare records?
The official identifier for JENNA EMERSON (MD) is NPI 1457791154.
Is JENNA EMERSON (MD) shown as active in public data?
Registry records indicate JENNA EMERSON (MD) maintains an active NPI.
What clinical focus is listed for JENNA EMERSON (MD)?
At a glance, JENNA EMERSON (MD) is tied to Gynecologic Oncology Physician. Clinical services aligned with this taxonomy classification.
Is JENNA EMERSON (MD) associated with Portland?
Public fields place JENNA EMERSON (MD) around Portland, Oregon. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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