Individual provider Active NPI

Robin Michelle Jewett, P.A.-C

  • Physician Assistant
  • Salem, OR
National Provider Identifier
1023057221
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA0000001305 Issued in TN
Practice address
2755 Commercial St SE # 101-258
Salem, OR 97302-4981
Phone
(503) 896-0297
Fax
(877) 719-1596
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA0000001305 TN Primary

Addresses

Primary practice location

2755 Commercial St SE # 101-258
Salem, OR 97302-4981

Mailing address

6800 SW 105TH Ave Ste 206
Beaverton, OR 97008-5487
Phone (503) 430-1777

Other practice location 1

2525 12th St SE Ste 260
Salem, OR 97302-2282
Phone (702) 910-3950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160307000814 OR Practitioner - Physician Assistant 9032131388 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CRM Physicians LLCGroup PAC ID 3678720729, 59 clinicians

Practice addresses (Care Compare)

650 SE Oak St
Hillsboro, OR 97123-4120
Phone (503) 648-8588

6800 SW 105TH Ave
Beaverton, OR 97008-5487

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1305TNMDAddiction (Substance Use Disorder) Counselor
PA0000001305TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Center of the Midsouth PLLC PastSince May 1, 2021 Accepting new patients
Dermatology Consultants, PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rjewett@csl-or.direct.office.nextgen.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1023057221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 SW 105TH AVE STE 206",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970085487",
            "telephone_number": "503-430-1777",
            "fax_number": "503-372-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 COMMERCIAL ST SE # 101-258",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024981",
            "telephone_number": "503-896-0297",
            "fax_number": "877-719-1596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 12th St SE Ste 260",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973022282",
            "country_code": "US",
            "telephone_number": "702-910-3950",
            "fax_number": "833-944-1930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEWETT",
        "first_name": "ROBIN",
        "middle_name": "MICHELLE",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA0000001305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.