DR. JENNIFER CATHERINE O'CONNOR (DO) – Obstetrics & Gynecology Physician, NPI 1083694376

DR. JENNIFER CATHERINE O'CONNOR (DO) is a healthcare provider. based in Vancouver, Washington. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials DO. They hold a License No. OP00001989 (WA). The NPI Number for DR. JENNIFER CATHERINE O'CONNOR (DO) is 1083694376

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNIFER CATHERINE O'CONNOR (DO)
NPI
1083694376
Phone
(360) 514-1060
Address
505 NE 87th Ave Ste 160
Enumeration Date
20 January 2006
Last Update Date
8 December 2021

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
3605141060
Graduation Year
2000 (26 years ago)
PAC ID
4082647128
Group Practice PAC ID
8820178288
Professional Enrollment ID
I20050919000104
Address ID
WA986641965VA505XXAVEX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,037 OBSTETRICS/GYNECOLOGY in WA

Provider Addresses for DR. JENNIFER CATHERINE O'CONNOR (DO)

  • 505 NE 87th Ave Ste 160

    Vancouver, WA 986641965

    Phone: (360) 514-1060

    Fax: (360) 514-1065

    Type: Location

  • The Vancouver Clinic | Salmon Creek 2, 2529, Northeast 139th Street, Mount Vista, Fairgrounds, Vancouver, Clark County, Washington, 98686, United States

    STE 350

    VANCOUVER, WA 986862309

    Phone: (360) 256-4060

    Fax: (360) 256-0103

    Type: Mailing

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 $152.

Total Amount is formed as General ($152) + Research ($0) + Ownership ($0) = $152.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Novo Nordisk Inc ($125).

Total Amount

$152

General + Research + Ownership

Payments

2

Total payment records

General Amount

$152

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

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: 2005-09-19

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
I20050919000104IObstetrics/GynecologyWATBD

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 98664)

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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: 8820178288View full group profile
NameSpecialtyState
O P H T H A L M O L O G YWA
Physician AssistantWA
General Surgery, Thoracic SurgeryWA
General Surgery, Thoracic SurgeryWA
Family PracticeWA
O P H T H A L M O L O G YWA
Physician AssistantWA
Medical OncologyWA
Nephrology, Internal MedicineWA
Physician AssistantWA

Reviews

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Frequently asked questions

How is DR. JENNIFER CATHERINE O'CONNOR (DO) identified in CMS data?
CMS-hosted NPPES data lists DR. JENNIFER CATHERINE O'CONNOR (DO) with NPI 1083694376.
Does CMS list DR. JENNIFER CATHERINE O'CONNOR (DO) as active?
Yes — DR. JENNIFER CATHERINE O'CONNOR (DO) is active in the NPI listing used on this page.
What healthcare role does DR. JENNIFER CATHERINE O'CONNOR (DO) hold?
Scheduling teams often label DR. JENNIFER CATHERINE O'CONNOR (DO) under Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. JENNIFER CATHERINE O'CONNOR (DO) based?
DR. JENNIFER CATHERINE O'CONNOR (DO) is tied to Vancouver, Washington in the data we show; additional addresses may exist on the full record.
Is the information about DR. JENNIFER CATHERINE O'CONNOR (DO) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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