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Penny Johnsrud , FNP

Nurse Practitioner - Family β€’ Gresham, OR

Active NPI 1851317598 Individual Practitioner Female Practitioner
Practice location in NPPES

501 Ne Hood Ave, Suite 100
Gresham, OR 970307303

Call 5037754931 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

501 Ne Hood Ave
Suite 100

Gresham, OR 970307303

Telephone 5037754931
Fax 5037887285
Organization at the Same NPPES Address or Phone
Columbia Medical And Endocrine Clinic Facility NPI 1306966569

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Gresham and Oregon

42 active clinicians are listed under Nurse Practitioner - Family with a practice address in Gresham, OR (2,384 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Gresham

14.3% of these 42 clinicians have the CMS telehealth indicator.

69% of these 42 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

License # reported to NPPES OR 095006656N1
Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

License # reported to NPPES WA AP30005364
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
9636119 (WA)
Medicaid ID
212335 (OR)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Sara Baldauf-Wilcox , CNM

Advanced Practice Midwife

NPI 1598996811

Certified Nurse Midwife

Patricia Collins , CNM, NP

Advanced Practice Midwife

NPI 1437328937

Certified Nurse Midwife, Nurse Practitioner

Barbara Kane , NP

Nurse Practitioner - Adult Health

NPI 1316989320

Nurse Practitioner

Dana Mozer , FNP

Nurse Practitioner - Family

NPI 1104874262

Family Nurse Practitioner

Carolyn Nowosielski , FNP

Nurse Practitioner - Family

NPI 1477645281

Family Nurse Practitioner

Kendra Parkin , WHCNP

Nurse Practitioner - Women's Health

NPI 1689004053

Career & Practice History

NPI enumerated July 14, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

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NPI Administrative Meta

NPI Number: 1851317598
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2006
Last Update: November 11, 2011
Sole Proprietor: No

Other Nurse Practitioner - Family Specialists in Gresham

All Nurse Practitioner - Family Specialists in Gresham

Mailing Address

3727 Ne Martin Luther King Jr Blvd, Attn: Credentialing

Portland, OR 972121112

Phone: 5037754931

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.