NPI registry status
Active
2026 NPPES data Case Manager/Care Coordinator NPI 1164576617 DNP, FNP
Verify on CMS → Gwyneth Jones, DNP, FNP
Case Manager/Care Coordinator in Portland, Oregon.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 160,873 in Case Manager/Care Coordinator, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
2K
Medicare Part D claims · 105 beneficiaries · Case Manager/Care Coordinator avg: 859
Industry payments
$62.33
4 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Gwyneth Jones, DNP, FNP filed 1,534 Medicare Part D claims in 2023 as a Case Manager/Care Coordinator in Portland, Oregon.
- 2K
- Part D claims, 2023
- $62.33
- industry payments (Sunshine Act)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Gwyneth Jones, DNP, FNP's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
1,534 Top 19% higher than 81% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Part D Prescriber Public Use File · 2023
What does the federal data show about Gwyneth Jones, DNP, FNP?
Quality data not reportedPrimary specialty
Case Manager/Care Coordinator
Medicare Part D claims
1,534 79% vs specialty avg
Specialty distribution in Oregon
How Case Manager/Care Coordinator compares to other specialties among Oregon providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Case Manager/Care Coordinator. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Gwyneth Jones, DNP, FNP appears in the CMS NPPES registry as a Case Manager/Care Coordinator provider holding DNP, FNP credentials at 1410 NE 106TH AVE, Portland, OR, 97220, with a listed phone of (503) 460-0405. NPI 1164576617 was issued on 01/22/2007.
Medicare Part D records for calendar year 2023 show 1,534 prescription claims written by this provider, covering 105 Medicare beneficiaries and totaling roughly $141K in drug spend, with an opioid prescribing rate of 5.5%.
Case Manager/Care Coordinator is a high-volume specialty nationwide, with 160,873 enrolled providers across 54 states and an average of 859 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1164576617 |
|---|---|
| Specialty | Case Manager/Care Coordinator |
| Credentials | DNP, FNP |
| Gender | Female |
| NPI Issued | 01/22/2007 |
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Gwyneth Jones, DNP, FNP. Source: openpaymentsdata.cms.gov.
Total received
$62
Largest payer
PFIZER INC.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
1,534
Total Claims
$141K
Total Drug Cost
105
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,438
- Total Day Supply
- 68,041
- Generic Drug Cost
- $24K
- Opioid Claims
- 84 (5.5% rate)
Patient Demographics
- Average Patient Age
- 64.3 years
- Avg HCC Risk Score
- 1.30
- Gender Split
- 66% female / 34% male
- Age Distribution
- <65: 36, 65-74: 53, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Gwyneth Jones, DNP, FNP prescribes most
Top Medicare Part D drugs by claim count, 2023
- Albuterol Sulfate …
Albuterol Sulfate Hfa
58 claims
- Lisinopril
Lisinopril
55 claims
- Trazodone Hcl
Trazodone Hcl
55 claims
- Atorvastatin Calcium
Atorvastatin Calcium
52 claims
- Levothyroxine Sodium
Levothyroxine Sodium
46 claims
- Omeprazole
Omeprazole
46 claims
- Amlodipine Besylate
Amlodipine Besylate
43 claims
- Ibuprofen
Ibuprofen
43 claims
| Drug | Claims |
|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 58 |
| Lisinopril | 55 |
| Trazodone Hcl | 55 |
| Atorvastatin Calcium | 52 |
| Levothyroxine Sodium | 46 |
| Omeprazole | 46 |
| Amlodipine Besylate | 43 |
| Ibuprofen | 43 |
| Pantoprazole Sodium | 36 |
| Cyclobenzaprine Hcl | 32 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Case Manager/Care Coordinator Overview
How Gwyneth Jones, DNP, FNP fits within the Case Manager/Care Coordinator landscape nationally.
160,873
Case Manager/Care Coordinator Providers in US
54
States with Case Manager/Care Coordinator
859
Avg Claims per Provider
Gwyneth Jones, DNP, FNP's 1,534 claims are above the specialty average of 859.
Nearby Case Manager/Care Coordinator Providers in Oregon
Other clinicians with the same primary specialty enrolled in Oregon, drawn from the same CMS NPPES roster as Jones.
Marissa Abdallah
Portland, OR
Dr. Ifrah Abdi
SOLE PROPRIETOR
Portland, OR
Soad Abdi
Portland, OR
Abdirahman Abdirahman
Portland, OR
Mohammad Abdulaziz
Portland, OR
Compare Case Manager/Care Coordinator nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Oregon medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Case Manager/Care Coordinator peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Gwyneth Jones, DNP, FNP's specialty? ▼
Gwyneth Jones, DNP, FNP specializes in Case Manager/Care Coordinator and practices in Portland, Oregon. Credentials: DNP, FNP.
How much does Gwyneth Jones, DNP, FNP prescribe under Medicare Part D? ▼
In 2023, Gwyneth Jones, DNP, FNP wrote 1,534 Medicare Part D claims totaling $141K in drug costs for 105 beneficiaries.
Where is Gwyneth Jones, DNP, FNP located? ▼
Gwyneth Jones, DNP, FNP is located at 1410 NE 106TH AVE, Portland, OR, 97220. Phone: (503) 460-0405.
What is Gwyneth Jones, DNP, FNP's NPI number? ▼
Gwyneth Jones, DNP, FNP's National Provider Identifier (NPI) is 1164576617, issued on 01/22/2007.
Does Gwyneth Jones, DNP, FNP prescribe opioids? ▼
Yes, Gwyneth Jones, DNP, FNP had 84 opioid claims in 2023 with an opioid prescribing rate of 5.5%.
How many Case Manager/Care Coordinator providers are there in the US? ▼
There are 160,873 Case Manager/Care Coordinator providers across 54 states in the US. The average Case Manager/Care Coordinator provider writes 859 Medicare Part D claims per year.
What drugs does Gwyneth Jones, DNP, FNP prescribe most often? ▼
Based on 2023 Medicare Part D data, Gwyneth Jones, DNP, FNP's most frequently prescribed drugs include Albuterol Sulfate Hfa, Lisinopril, Trazodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Gwyneth Jones, DNP, FNP accept Medicare? ▼
Gwyneth Jones, DNP, FNP appears in CMS Medicare data with 1,534 Part D claims and 105 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Gwyneth Jones, DNP, FNP's credentials? ▼
Gwyneth Jones, DNP, FNP's NPI is 1164576617 with credentials DNP, FNP. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.