Active NPI
Jessica Ledoux, PA
- Physician Assistant
- Springfield, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA215361
- Practice address
- 3311 Riverbend Dr
Springfield, OR 97477-8800 - Phone
- (541) 248-6972
- NPI assigned
- May 8, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA215361 | OR | Primary |
Addresses
Primary practice location
3311 Riverbend Dr
Springfield, OR 97477-8800
Mailing address
2936 SW Anchor CT
Lincoln City, OR 97367-1828
Phone (503) 927-5645
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Rocky Vista University College of Osteopathic Med, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2801 NW Mercy Dr
Suite 350
Roseburg, OR 97471-2349
Phone (541) 222-2700
310 9TH St
Florence, OR 97439-9470
Phone (541) 484-4332
3311 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-7218
3333 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-7300
3355 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-6113
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA215361 | OR | MD | Physician Assistant |
Organizations & group practices 1
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.
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHI Mercy Medical Center
- General Acute Care Hospital
- Roseburg, OR
- NPI 1477590198
-
- Psychiatric Hospital Unit
- Eugene, OR
- NPI 1568236974
-
dba Cottage Grove Community Medical CT
- Critical Access Hospital
- Cottage Grove, OR
- NPI 1902892391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1366132094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2936 SW ANCHOR CT",
"city": "LINCOLN CITY",
"state": "OR",
"postal_code": "973671828",
"telephone_number": "503-927-5645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3311 RIVERBEND DR",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974778800",
"telephone_number": "541-248-6972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDOUX",
"first_name": "JESSICA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-08",
"last_updated": "2023-05-08",
"certification_date": "2023-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA215361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.