ERIN JESSICA ANDERSON (PNP) – Pediatric Nurse Practitioner, NPI 1669427787

ERIN JESSICA ANDERSON (PNP) is a healthcare provider. based in Portland, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials PNP. They hold a License No. R1470781 (MN). The NPI Number for ERIN JESSICA ANDERSON (PNP) is 1669427787

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
ERIN JESSICA ANDERSON (PNP)
NPI
1669427787
Phone
Not provided
Address
3181 SW SAM JACKSON PARK RD
Enumeration Date
24 May 2006
Last Update Date
10 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5034944808
Graduation Year
2004 (22 years ago)
PAC ID
0143286575
Group Practice PAC ID
4880760107
Professional Enrollment ID
I20070330000031
Address ID
OR973013975SA875XXSEXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

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Provider Addresses for ERIN JESSICA ANDERSON (PNP)

  • Richard T. Jones Hall, 3181, Southwest Sam Jackson Park Road, Marquam Hill, Homestead, Portland, Metro, Multnomah County, Oregon, 97239, United States

    CDW6

    PORTLAND, OR 972393011

    Phone:

    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)

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: 2007-03-30

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
I20070330000031INurse PractitionerORTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

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: 4880760107View full group profile

Reviews

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Frequently asked questions

How do payers reference ERIN JESSICA ANDERSON (PNP)?
For ERIN JESSICA ANDERSON (PNP), use NPI 1669427787 as the unique 10-digit identifier.
Is ERIN JESSICA ANDERSON (PNP) still an active registrant?
ERIN JESSICA ANDERSON (PNP) carries an active NPI according to the public dataset.
How would a patient describe ERIN JESSICA ANDERSON (PNP)'s focus?
For ERIN JESSICA ANDERSON (PNP), the primary taxonomy reads as Pediatric Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is ERIN JESSICA ANDERSON (PNP) located near Portland?
ERIN JESSICA ANDERSON (PNP) currently maps to Portland, Oregon in this extract.
Can I trust this NPI listing for ERIN JESSICA ANDERSON (PNP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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