Individual provider Active NPI

Brittany Imon Jones, PA-C

  • Physician Assistant
  • Ontario, OR
National Provider Identifier
1013647791
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA216446 Issued in OR
Practice address
840 SW 4TH Ave Ste 105
Ontario, OR 97914-2638
Phone
(541) 881-2800
Fax
(541) 881-2825
NPI assigned
Jun 15, 2022
Last updated
Jan 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA216446 OR Primary
Physician Assistant 363A00000X 6771568 ID

Addresses

Primary practice location

840 SW 4TH Ave Ste 105
Ontario, OR 97914-2638

Mailing address

840 SW 4TH Ave Ste 105
Ontario, OR 97914-2638
Phone (541) 881-2800

Other identifiers 1

IdentifierTypeStateIssuer
500829607MedicaidOR

Other names 1

  • Brittany Imon Jones-Bourgeois Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, ID2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231012000991 OR Practitioner - Physician Assistant 6507211463 Reassigns benefits to 1 organization
I20251203004290 ID Practitioner - Physician Assistant 6507211463 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Family Health Care IncGroup PAC ID 0547169591, 45 clinicians

Practice addresses (Care Compare)

1441 NE 10TH Ave
Payette, ID 83661-5420
Phone (208) 642-9376

840 SW 4TH Ave
Suite 105
Ontario, OR 97914-2638
Phone (541) 881-2800

896 Fortner St
Ontario, OR 97914-1787
Phone (541) 881-2828

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6771568IDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Family Health Care, Inc CurrentSince Nov 1, 2023 Accepting new patients
St Lukes Clinic-Treasure Valley LLC CurrentSince Mar 2, 2026 Accepting new patients
Valley Family Health Care Inc Current Accepting new patients
Valley Family Health Care, Inc CurrentSince Nov 1, 2023 Accepting new patients
Valley Family Health Care, Inc Past Accepting new patients

Locations

100 E Idaho St
Boise, ID 83712
Phone (208) 343-3223

207 E 12th St
Emmett, ID 83617
Phone (208) 365-1065

1441 NE 10th Ave
Payette, ID 83661
Phone (208) 642-9376

17 S 3rd St
Nyssa, OR 97913
Phone (541) 372-5738

1219 SW 4th Ave
Unit 2
Ontario, OR 97914
Phone (208) 302-2200

840 SW 4th Ave
Ste 105
Ontario, OR 97914
Phone (541) 881-2500

896 Fortner St
Ontario, OR 97914
Phone (541) 709-2038

789 Washington St W
Vale, OR 97918
Phone (503) 473-2101

Interoperability endpoints

  • Direct secure messaging: bjonesbourgeois669899@direct.ochin.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1013647791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 SW 4TH AVE STE 105",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142638",
            "telephone_number": "541-881-2800",
            "fax_number": "541-881-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 SW 4TH AVE STE 105",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142638",
            "telephone_number": "541-881-2800",
            "fax_number": "541-881-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "BRITTANY",
        "middle_name": "IMON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA216446",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "6771568",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500829607",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "JONES-BOURGEOIS",
            "middle_name": "IMON",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ontario, OR

Sources for this page

Verify at the official NPI Registry.