Individual provider Active NPI

Jessica Lauren Dinsdale, PA-C

  • Physician Assistant
  • Bend, OR
National Provider Identifier
1396049680
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA181337 Issued in OR
Practice address
2090 NE Wyatt CT Ste 101
Bend, OR 97701-7691
Phone
(541) 382-6447
NPI assigned
Jan 1, 2011
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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 PA181337 OR Primary

Addresses

Primary practice location

2090 NE Wyatt CT Ste 101
Bend, OR 97701-7691

Mailing address

2090 NE Wyatt CT
Ste 101
Bend, OR 97701-7691
Phone (541) 382-6447

Other practice location 1

27875 Smyth Dr
Suite 101
Valencia, CA 91355-6063
Phone (661) 702-1440

Other names 1

  • Jessica Lauren Cromsigt Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jdinsdale16383@directmsg.bmctotalcare.com

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
I20170717001430 OR Practitioner - Physician Assistant 8224274220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bend Memorial Clinic PCGroup PAC ID 7214936533, 225 clinicians

Practice addresses (Care Compare)

1245 NW 4TH St
Redmond, OR 97756-1680
Phone (541) 382-6447

1501 NE Medical Ctr Dr
Bend, OR 97701-6051
Phone (541) 382-2811

2090 NE Wyatt CT
Suite 101
Bend, OR 97701-7691
Phone (541) 382-6447

2500 NE Neff Rd
St. Charles Medical Center Bend
Bend, OR 97701-6015
Phone (541) 382-2811

333 NW Larch Ave
Suite 2
Redmond, OR 97756-1186
Phone (541) 382-4900

815 SW Bond St
Bend, OR 97702-3593

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA181337ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bend Memorial Clinic PC CurrentSince Jan 1, 2019 Accepting new patients
Bend Memorial Clinic PC Physician Assistant Past Accepting new patients

Locations

1501 NE Medical Center Dr
Bend, OR 97701
Phone (541) 317-4354

2090 NE Wyatt Ct
Ste 101
Bend, OR 97701
Phone (541) 382-6447

1245 NW 4th St
Redmond, OR 97756
Phone (541) 526-1771

Interoperability endpoints

  • Direct secure messaging: jdinsdale16383@directmsg.bmctotalcare.com

Organizations & group practices 2

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1293840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1396049680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 NE WYATT CT",
            "address_2": "STE 101",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017691",
            "telephone_number": "541-382-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 NE WYATT CT STE 101",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017691",
            "telephone_number": "541-382-6447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27875 Smyth Dr",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913556063",
            "country_code": "US",
            "telephone_number": "661-702-1440",
            "fax_number": "661-702-1445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DINSDALE",
        "first_name": "JESSICA",
        "middle_name": "LAUREN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-01",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA181337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdinsdale16383@directmsg.bmctotalcare.com",
            "affiliation": "N",
            "address_1": "2090 NE Wyatt Ct Ste 101",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977017691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "CROMSIGT",
            "middle_name": "LAUREN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.