DR. JENNIFER L WILLINGHAM (M.D.) – Family Medicine Physician, NPI 1972589976

DR. JENNIFER L WILLINGHAM (M.D.) is a healthcare provider. based in Scappoose, Oregon. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 0420010400 (VT). The NPI Number for DR. JENNIFER L WILLINGHAM (M.D.) is 1972589976

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNIFER L WILLINGHAM (M.D.)
NPI
1972589976
Phone
(503) 418-4222
Address
51377 SW OLD PORTLAND RD
Enumeration Date
21 December 2005
Last Update Date
19 May 2017

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
5036811111
Graduation Year
1999 (27 years ago)
PAC ID
6406806728
Group Practice PAC ID
7416173414
Professional Enrollment ID
I20170619002456
Address ID
OR971234246HI335XXAVEX400
Telehealth
Yes
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

2,081 FAMILY PRACTICE in OR

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Provider Addresses for DR. JENNIFER L WILLINGHAM (M.D.)

  • 51377, Southwest Old Portland Road, Scappoose, Columbia County, Oregon, 97056, United States

    SCAPPOOSE, OR 970564023

    Phone: (503) 418-4222

    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: 2017-06-19

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
I20170619002456IFamily PracticeORTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes7351$0
99213Established patient office or other outpatient visit, 20-29 minutes3530$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2013$0
99204New patient office or other outpatient visit, 45-59 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 97056)

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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: 7416173414View full group profile
NameSpecialtyState
Nurse PractitionerOR
N E U R O L O G YOR
Internal MedicineNJ
Emergency MedicineCA
Cardiovascular Disease (Cardiology)OR
Diagnostic RadiologyOR
N E U R O L O G YOR
Emergency MedicineOR
Emergency MedicineOR
-OR

Reviews

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Frequently asked questions

How do I look up DR. JENNIFER L WILLINGHAM (M.D.) by NPI?
Use NPI 1972589976 when you need to reference DR. JENNIFER L WILLINGHAM (M.D.) in forms, claims, or directories.
Is DR. JENNIFER L WILLINGHAM (M.D.) active in the national directory?
DR. JENNIFER L WILLINGHAM (M.D.)'s public NPI profile is in an active state.
What does DR. JENNIFER L WILLINGHAM (M.D.) treat or focus on?
Patients typically see DR. JENNIFER L WILLINGHAM (M.D.) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. JENNIFER L WILLINGHAM (M.D.)'s primary listing?
We display Scappoose, Oregon because that is what the record indicates for DR. JENNIFER L WILLINGHAM (M.D.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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