Jennifer Lee Maestas, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA153569 Issued in OR

Practice address

4103 Mercantile Dr
Lake Oswego, OR 97035-2556

Phone

(503) 850-9940

Fax

(877) 533-6717

NPI assigned

Dec 5, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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 1

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Go to Ortho, LLCGroup PAC ID 9537575543, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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

• Go to Ortho LLC

  • Orthopedic Physical Therapist
  • Lake Oswego, OR
  • NPI 1083206155
  Medicare reassignment Care Compare group
• Summit Orthopaedics, LLP

  • Orthopaedic Surgery Physician
  • Lake Oswego, OR
  • NPI 1427200021
  Medicare reassignment
• TS Billings, LLC

  • Trauma Surgery Physician
  • Portland, OR
  • NPI 1497776488
  NPD (past)
• TS Pos Billings L L C

  • Orthopaedic Trauma Physician
  • Portland, OR
  • NPI 1497082366
  NPD (past)
• TS Radiology Billings, LLC

  • Diagnostic Radiology Physician
  • Portland, OR
  • NPI 1669413514
  NPD (past)

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1437133261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4103 MERCANTILE DR",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970352556",
            "telephone_number": "503-850-9940",
            "fax_number": "877-533-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 MERCANTILE DR",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970352556",
            "telephone_number": "503-850-9940",
            "fax_number": "877-533-6717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2695 SW Cedar Hills Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970051415",
            "country_code": "US",
            "telephone_number": "503-850-9950",
            "fax_number": "866-252-2247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAESTAS",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA153569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Taylor
• Trevor I Macleod, DC
• Steven M Madey, MD
• Tanya Madrigal-Prudente
• Maria Daru Maer, MA,LPC
• Christina Michelle Mahoney, L.AC.
• Megan Mahony, LAC
• Makerspace Speech Language and Cognition
• Kristy Car Makowichuk, LPC, LMHC
• Aleksey Maksimov

• Physician Assistant in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.