Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Jacquelyn Kristen Trujillo , APRN-NP, RNFA

Nurse Practitioner โ€ข Newberg, OR

Active NPI 1710622840 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

1003 N Providence Dr Ste 210
Newberg, OR 971327523

Call 5035375620 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

1003 N Providence Dr Ste 210

Newberg, OR 971327523

Telephone 5035375620
Organization at the Same NPPES Address or Phone
Providence St Vincent Medical Center Facility NPI 1033345012

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

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Mcminnville, OR. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Providence Health And Services Oregon. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2022

Medicare patients

78 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $45,236 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $35,856 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

89 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$1,213 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $20.00 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

Years since graduation

4 years (graduated 2022)

CMS Doctors and Clinicians data list 2022 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2022

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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, โ€œDoes your provider accept Medicare as full payment?โ€

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

Enrolled in Medicare (PECOS)

Jacquelyn Trujillo has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jacquelyn Trujillo as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Newberg and Oregon

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 85% of clinicians listed under Nurse Practitioner in Oregon (2024, 237 clinicians with data). Median for this group: 246. Middle half: 80 to 602.

Too few clinicians listed under Nurse Practitioner in Newberg have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 75% of clinicians listed under Nurse Practitioner in Oregon (2024, 237 clinicians with data). Median for this group: $17,290. Middle half: $6,227 to $40,189.

Too few clinicians listed under Nurse Practitioner in Newberg have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 80% of clinicians listed under Nurse Practitioner in Oregon (2024, 237 clinicians with data). Median for this group: $12,596. Middle half: $4,446 to $29,272.

Too few clinicians listed under Nurse Practitioner in Newberg have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

Fewer Part D prescriptions than 80% of clinicians listed under Nurse Practitioner in Oregon (2024, 306 clinicians with data). Median for this group: 326. Middle half: 110 to 1,349.

Too few clinicians listed under Nurse Practitioner in Newberg have Medicare Part D data for 2024 to compare.

Part D drug cost

A lower Part D drug cost than 80% of clinicians listed under Nurse Practitioner in Oregon (2024, 306 clinicians with data). Median for this group: $19,914. Middle half: $1,695 to $143,045.

Too few clinicians listed under Nurse Practitioner in Newberg have Medicare Part D data for 2024 to compare.

1 active clinicians are listed under Nurse Practitioner with a practice address in Newberg, OR (599 in Oregon).

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

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $20.00.

Manufacturer Payment Nature Product Type Amount ($)
Urgo Medical North America, LLC
Food and Beverage
In-kind items and services
URGOCLEAN AG General $20.00

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2023โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less
411 55 $254.00 $47.87
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
192 58 $208.00 $53.21
11045 Removal of skin and tissue, each additional 20.0 sq cm or less
158 11 $110.00 $19.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
92 38 $321.00 $78.57
97597 Removal of tissue from wound, 20.0 sq cm or less
36 20 $160.00 $28.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
22 20 $104.00 $28.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
21 21 $525.00 $107.26
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
21 16 $64.00 $13.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
12 12 $310.00 $65.81

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Gentamicin Sulfate Gentamicin Sulfate 28 422 $717.48 22
Mupirocin Mupirocin 19 413 $164.47 18
Doxycycline Hyclate Doxycycline Hyclate 15 129 $116.08 14
Clotrimazole-Betamethasone Clotrimazole/Betamethasone Dip 13 147 $158.30 โ€”
Amoxicillin Amoxicillin 11 92 $56.45 โ€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-05-13
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES OR 10001033

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse - Registered Nurse First Assistant

NUCC Taxonomy Code: 163WR0006X

License # reported to NPPES OR 201041838RN

A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon.

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

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20230111000491

Enrollment State Jurisdiction

OR

PECOS Control ID

1153791041

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Providence Health And Services Oregon

1003 N Providence Dr, Newberg, OR 971327523

Phone: 5035375620

Secondary Practice Locations

375 Se Norton Ln Ste A

Mcminnville, OR 971288484

Phone: 5034725749

Clinicians Sharing This Practice Address or Phone

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

16 listed
Dr. Ellen Andrae , MD

Psychiatry & Neurology - Neurology

NPI 1427248202

Doctor of Medicine (M.D.)

Caitlin Ansel , FNP

Nurse Practitioner - Family

NPI 1588251532

Family Nurse Practitioner

Terri Benner , PA-C

Physician Assistant

NPI 1801844626

Physician Assistant (Certified)

NPI 1114366424

Doctor of Osteopathic Medicine (D.O.)

NPI 1578669487

Doctor of Medicine (M.D.)

Dr. Thomas Croy , MD

Orthopaedic Surgery

NPI 1770579237

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
๐Ÿ“
Updated Practice Location May 13, 2025

Registered at 1003 N PROVIDENCE DR STE 210, NEWBERG, OR 971327523 (Tel: 5035375620)

๐Ÿ“
Updated Business Mailing Address May 13, 2025

Registered at PO BOX 3158, PORTLAND, OR 972083158 (Tel: 5032156494)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2025

Nurse Practitioner (license number reported to NPPES: OR 10001033)

๐Ÿ“
Updated Practice Location October 27, 2023

Registered at 375 SE NORTON LN STE A, MCMINNVILLE, OR 971288484 (Tel: 5034725749)

๐Ÿ“
Updated Business Mailing Address October 27, 2023

Registered at 5220 BELFORT RD STE 130, JACKSONVILLE, FL 322566018 (Tel: 9044463701)

๐Ÿ‘ค
Provider Name / Credentials Updated December 13, 2022

Recorded as JACQUELYN TRUJILLO, APRN-NP, RNFA

โœ…
NPI Profile Active May 03, 2022

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) May 03, 2022

Registered at 4103 MERCANTILE DR, LAKE OSWEGO, OR 970352556 (Tel: 5038509940)

๐Ÿ“
Business Mailing Address (Initial Record) May 03, 2022

Registered at 4103 MERCANTILE DR, LAKE OSWEGO, OR 970352556

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) May 03, 2022

Recorded as JACQUELYN TRUJILLO, RN,BSN,RNFA

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2022

Registered Nurse (license number reported to NPPES: OR 201041838RN)

๐ŸŸข
Initial NPI Registration & Enumeration May 03, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1710622840
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 03, 2022
Last Update: May 13, 2025
Sole Proprietor: No

Mailing Address

Po Box 3158

Portland, OR 972083158

Phone: 5032156494

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.