Mrs Jennifer Goodrich, AGACNP-BC in Portland, OR

Mrs Jennifer Goodrich, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Gerontology" in Portland, Oregon. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Providence Health And Services Oregon, Providence Health And Services Oregon and her current practice location is 9205 Sw Barnes Rd, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 216-1234.

Mrs Jennifer Goodrich is licensed to practice in Oregon (license number 201807115NP-PP) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174002976.

Contact Information

	Mrs Jennifer Goodrich, AGACNP-BC
	9205 Sw Barnes Rd, Portland, OR 97225-6603
	(503) 216-1234
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jennifer Goodrich
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	9205 Sw Barnes Rd, Portland, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Jennifer Goodrich graduated from nursing school in 2018

NPI Data:

NPI Number: 1174002976
Provider Enumeration Date: 08/13/2018
Last Update Date: 01/29/2021

Medicare PECOS Information:

PECOS PAC ID: 8628321346
Enrollment ID: I20181026001448

Medical Identifiers

Medical identifiers for Mrs Jennifer Goodrich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174002976	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	201807115NP-PP (Oregon)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	201807115NP-PP (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence St Vincent Medical Center	Portland, OR	Hospital
Providence Portland Medical Center	Portland, OR	Hospital
Providence Newberg Medical Center	Newberg, OR	Hospital
Providence Seaside Hospital	Seaside, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Health And Services Oregon	0648183608	1344
Providence Health And Services Oregon	9335057447	137

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Jennifer Goodrich allows following entities to bill medicare on her behalf.

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003991845 PECOS PAC ID: 5395656284 Enrollment ID: O20031113000626

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114015971 PECOS PAC ID: 9335057447 Enrollment ID: O20031117000153

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578500492 PECOS PAC ID: 1557260106 Enrollment ID: O20040102000768

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jennifer Goodrich is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Jennifer Goodrich, AGACNP-BC Po Box 3158, Portland, OR 97208-3158 Ph: () -	Mrs Jennifer Goodrich, AGACNP-BC 9205 Sw Barnes Rd, Portland, OR 97225-6603 Ph: (503) 216-1234

Reviews and Comments

Nurse Practitioner Nurses in Portland, OR

Mrs. Anjalee Nix Rowe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-3988
Ms. Susan Irene Smith, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239 Phone: 971-202-5500 Fax: 971-202-5555
Iva Juric, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239 Phone: 503-494-4808
Ms. Jessica A Dudley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-746-1575
Summer Morgan Massina, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 721 Nw 9th Ave Ste 100, Portland, OR 97209 Phone: 503-525-0090
Dr. Jeffery Wise, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1834 Nw 25th Ave Apt 504, Portland, OR 97210 Phone: 971-354-9242
A'lissa Richards, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12121 E Burnside St, Portland, OR 97216 Phone: 971-361-7700

Mrs Jennifer Goodrich, AGACNP-BC - Medicare Nurse Practitioner in Portland, OR