JENNIFER WOOLEY (MD) – Student in an Organized Health Care Education/Training Program, NPI 1972065910

JENNIFER WOOLEY (MD) is a healthcare provider. based in Portland, Oregon. specializing in FAMILY PRACTICE. They hold the professional credentials MD. The NPI Number for JENNIFER WOOLEY (MD) is 1972065910

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER WOOLEY (MD)
NPI
1972065910
Phone
(503) 494-8211
Address
3181 SW SAM JACKSON PARK RD
Enumeration Date
1 April 2019
Last Update Date
1 April 2019

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
9072603121
Graduation Year
2019 (7 years ago)
PAC ID
8921338997
Group Practice PAC ID
3173761715
Professional Enrollment ID
I20221129001404
Address ID
AK996697501SO154XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:7State licenses:0Digital endpointsOther names

2,081 FAMILY PRACTICE in OR

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Provider Addresses for JENNIFER WOOLEY (MD)

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

    PORTLAND, OR 972393098

    Phone: (503) 494-8211

    Type: Mailing

  • 2801, Daggett Avenue, Klamath Falls, Klamath County, Oregon, 97601, United States

    KLAMATH FALLS, OR 976017150

    Phone: (541) 274-6733

    Type: Location

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: 2022-11-29

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
I20221129001404IFamily PracticeAKTBD

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 minutes14473$0
99214Established patient office or other outpatient visit, 30-39 minutes3830$0
36415Insertion of needle into vein for collection of blood sample2723$0
99204New patient office or other outpatient visit, 45-59 minutes1818$0
81002Urinalysis, manual test1512$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: 3173761715View full group profile
NameSpecialtyState
Family PracticeAK

Reviews

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Frequently asked questions

What NPI should I save for JENNIFER WOOLEY (MD)?
Save NPI 1972065910 if you need a stable reference for JENNIFER WOOLEY (MD).
Is JENNIFER WOOLEY (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does JENNIFER WOOLEY (MD) list a primary specialty?
If you are matching referrals, note Student in an Organized Health Care Education/Training Program for JENNIFER WOOLEY (MD). Clinical services aligned with this taxonomy classification.
Where is JENNIFER WOOLEY (MD)'s primary listing?
We display Portland, Oregon because that is what the record indicates for JENNIFER WOOLEY (MD).
Is JENNIFER WOOLEY (MD) a real provider?
This page reflects official NPPES data for NPI 1972065910. Always confirm identity and privileges with the practice and licensing boards.

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