JACQUELYN KRISTEN TRUJILLO (APRN-NP, RNFA) – Nurse Practitioner, NPI 1710622840
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,366 NURSE PRACTITIONER in OR
Provider Addresses for JACQUELYN KRISTEN TRUJILLO (APRN-NP, RNFA)
375 SE Norton Ln Ste A
McMinnville, OR 971288484
Phone: (503) 472-5749
Type: Location
4103 MERCANTILE DR
LAKE OSWEGO, OR 970352556
Phone:
Type: Mailing
PO BOX 3158
PORTLAND, OR 972083158
Phone: (503) 215-6494
Type: Mailing
1003 N PROVIDENCE DR STE 210
NEWBERG, OR 971327523
Phone: (503) 537-5620
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $357.
Total Amount is formed as General ($357) + Research ($0) + Ownership ($0) = $357.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Kerecis Limited ($143).
Total Amount
$357
General + Research + Ownership
Payments
9
Total payment records
General Amount
$357
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kerecis Limited | $143 |
| Next Science LLC | $110 |
| TACTILE SYSTEMS TECHNOLOGY INC | $27 |
| MIMEDX Group, Inc. | $23 |
| Acera Surgical, Inc. | $21 |
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: 2023-01-11
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 |
|---|---|---|---|---|
| I20230111000491 | 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 |
|---|---|---|---|---|
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 206 | 38 | $0 |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 123 | 33 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 68 | 28 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 57 | 35 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 22 | 22 | $0 |
Insurance plans in this area (ZIP 97128)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| - | OR | |
| General Surgery | IN | |
| Physical Medicine And Rehabilitation, Interventional Pain Management | OR | |
| Nurse Practitioner | OH | |
| Colorectal Surgery (Proctology), General Surgery | OR | |
| Family Practice, Physical Medicine And Rehabilitation | IN | |
| - | WA | |
| Family Practice | AZ | |
| - | KS |
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