Jodiey Bondurant, DNP, CPNP-PC/AC, FNP
NPI 1104369917ActiveIndividual· Nurse Practitioner, Pediatrics· Portland, OR
Nurse Practitioner, Pediatrics (DNP, CPNP-PC/AC, FNP) in Portland, Oregon, licensed in OR and WA, with an NPI issued in November 2016. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1104369917 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DNP, CPNP-PC/AC, FNP |
| Sole proprietor | No |
| NPI issued | Nov 28, 2016 |
| Last updated in NPPES | Jul 19, 2023 |
| Certified by provider | Apr 17, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Pediatrics Primary | 363LP0200X | 202101747NP-PP | OR |
| Nurse Practitioner, Acute Care | 363LA2100X | 202101747NP-PP | OR |
| Nurse Practitioner, Family | 363LF0000X | 202101747NP-PP | OR |
| Nurse Practitioner, Pediatrics | 363LP0200X | AP60689542 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (OR) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner, Pediatrics providers in Portland
- 1235507963
- 1922069640
- 1669427787
- 1053973131
- 1578233169
- 1952573438
- 1679626964
- 1093736928
- 1629121918
- 1457404758
- 1831815109
- 1811249592