Active NPI 1851317598 Individual Practitioner Female Practitioner

Penny Johnsrud , FNP

Nurse Practitioner - Family • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Penny Johnsrud, FNP is a registered healthcare professional specializing in Nurse Practitioner - Family in Gresham, OR. Practice services are available at 501 NE HOOD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

501 Ne Hood Ave
Suite 100

Gresham, OR 970307303

Telephone 5037754931

Fax 5037887285

Associated Practice Facility / Clinic

🏢 Columbia Medical And Endocrine Clinic Facility NPI 1306966569

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Gresham, OR

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 9.0 Yrs

State Avg: 11.2 Yrs

Regional Practice Density

42 Specialists

Practicing in Gresham, OR (2410 Statewide)

Telehealth Adoption Rate

14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License OR 095006656N1

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License WA AP30005364

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

9636119 (WA)

Medicaid State Provider ID

212335 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

35 Associated Practitioners

Barbara Floyd , CNM, NMNP

Advanced Practice Midwife

NPI 1033379839

Certified Nurse Midwife, NMNP

Katherine Beaumont

Registered Nurse

NPI 1053723726

Kathleen Gregory , FNP

Nurse Practitioner - Family

NPI 1063560217

Family Nurse Practitioner

Maria Vacarella , CNM

Advanced Practice Midwife

NPI 1063725703

Certified Nurse Midwife

Melanie Lakaemper , NP

Nurse Practitioner - Women's Health

NPI 1083885552

Nurse Practitioner

Amber Martin , FNP

Nurse Practitioner - Women's Health

NPI 1104862432

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active November 11, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location November 11, 2011

Registered at 501 NE HOOD AVE, SUITE 100, GRESHAM, OR 970307303 (Tel: 5037754931)

📍

Updated Business Mailing Address November 11, 2011

Registered at 3727 NE MARTIN LUTHER KING JR BLVD, ATTN: CREDENTIALING, PORTLAND, OR 972121112 (Tel: 5037754931)

👤

Provider Name / Credentials Updated November 11, 2011

Recorded as PENNY JOHNSRUD, FNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2011

Nurse Practitioner (License #095006656N1 in OR)

🟢

Initial NPI Registration & Enumeration July 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Penny Johnsrud. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

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

Update or Correct Profile

Mailing Address

3727 Ne Martin Luther King Jr Blvd, Attn: Credentialing

Portland, OR 972121112

Phone: 5037754931

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.