NPIMap

Individual provider Active NPI

Jenna Emerson, MD

  • Gynecologic Oncology Physician
  • Portland, OR
National Provider Identifier
1457791154
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
MD197593 Issued in OR
Practice address
265 N Broadway
Portland, OR 97227-1800
Phone
(503) 280-1223
NPI assigned
Jun 27, 2013
Last updated
Oct 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD197593 OR
Gynecologic Oncology Physician 207VX0201X MD197593 OR Primary

Addresses

Primary practice location

265 N Broadway
Portland, OR 97227-1800

Mailing address

1498 SE Tech Center PL Ste 240
Vancouver, WA 98683-5508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200629003793 OR Practitioner - Obstetrics/Gynecology 3678879129 Reassigns benefits to 2 organizations
I20240908000095 WA Practitioner - Gynecological Oncology 3678879129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
Oregon Health Sciences University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Cancer Specialists PCGroup PAC ID 8426943838, 70 clinicians

Practice addresses (Care Compare)

210 SE 136TH Ave
Vancouver, WA 98684-6930
Phone (360) 944-9889

265 N Broadway
Portland, OR 97227-1800
Phone (503) 280-1223

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD197593ORMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Health Current Accepting new patients
Northwest Cancer Specialists PC Gynecologic Oncology CurrentSince Aug 19, 2024 Accepting new patients
Salem Health CurrentSince Nov 27, 2020 Accepting new patients
Northwest Cancer Specialists, PC CurrentSince Aug 19, 2024 Accepting new patients
Salem Health CurrentSince Nov 27, 2020 Accepting new patients
Northwest Cancer Specialists PC CurrentSince Aug 19, 2024 Accepting new patients

Locations

12535 SE 82nd Ave
Happy Valley, OR 97015
Phone (503) 915-9174

1601 Monmouth St
Ste 100
Independence, OR 97351
Phone (503) 623-8301

265 N Broadway
Portland, OR 97227
Phone (503) 274-4885

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

875 Oak St SE
Salem, OR 97301
Phone (503) 561-5719

210 SE 136th Ave
Vancouver, WA 98684
Phone (360) 944-9889

1498 SE Tech Center Pl
Ste 240
Vancouver, WA 98683
Phone (360) 597-1309

Interoperability endpoints

  • Direct secure messaging: jemerson35855@direct.ohsu.edu
  • Direct secure messaging: jenna.emerson@compass.ikm.direct-ci.com

Organizations & group practices 6

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 7

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": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1457791154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 SE TECH CENTER PL STE 240",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 N BROADWAY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271800",
            "telephone_number": "503-280-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERSON",
        "first_name": "JENNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD197593",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "OR",
            "license": "MD197593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.