Jodiey Bondurant, DNP, CPNP-PC/AC, FNP
NPI 1104369917 · Pediatric Nurse Practitioner · Portland, OR
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jodiey Bondurant, DNP, CPNP-PC/AC, FNP is a Pediatric Nurse Practitioner provider in Portland, OR (NPI 1104369917).
Provider details
- NPI number
- 1104369917
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP, CPNP-PC/AC, FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 202101747NP-PP (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 2100 Madison AveGranite City, IL 62040-4713Phone: (618) 798-3000
- 1 Childrens PlSaint Louis, MO 63110-1002Phone: (314) 454-6336
Registry dates
- Enumerated
- 2016-11-28
- Last updated
- 2023-07-19
- Certified
- 2023-04-17
Frequently asked questions
- What is Jodiey Bondurant's NPI number?
- Jodiey Bondurant's National Provider Identifier (NPI) is 1104369917, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jodiey Bondurant's specialty?
- Jodiey Bondurant is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jodiey Bondurant located?
- Jodiey Bondurant's practice location on file with NPPES is 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011.
- What is Jodiey Bondurant's phone number?
- The practice phone number listed in the NPPES registry for Jodiey Bondurant is (503) 494-8122.
- Does Jodiey Bondurant accept Medicare?
- Jodiey Bondurant is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jodiey Bondurant's NPI active?
- Yes — Jodiey Bondurant's NPI (1104369917) is active in the NPPES registry as of the last update on 2023-07-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.