Individual provider Active NPI

Jennifer Ann Robey, PA

  • Physician Assistant
  • Eugene, OR
National Provider Identifier
1417595653
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA225843 Issued in OR
Practice address
1800 Coburg Rd
Eugene, OR 97401-4995
Phone
(541) 345-8760
Fax
(541) 345-8763
NPI assigned
Dec 18, 2019
Last updated
Jul 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 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 PA225843 OR Primary

Addresses

Primary practice location

1800 Coburg Rd
Eugene, OR 97401-4995

Mailing address

2204 Merganser Dr
Kalispell, MT 59901-8973
Phone (715) 308-7636

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
I20250827003050 OR Practitioner - Physician Assistant 6901233360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icco LLCGroup PAC ID 1355406729, 133 clinicians

Practice addresses (Care Compare)

1445 Gateway Blvd
Cottage Grove, OR 97424-1224
Phone (541) 942-7000

1800 Coburg Rd
Eugene, OR 97401-4995
Phone (541) 345-8760

186 W Ellendale Ave
Dallas, OR 97338-1408
Phone (541) 640-7625

2710 Willamette St
Eugene, OR 97405-3238
Phone (541) 735-3161

2920 Commercial St SE
Salem, OR 97302-4552
Phone (971) 301-4919

3400 Cooperative Way
Lebanon, OR 97355-3984
Phone (541) 640-7625

355 W 3Rd Ave
Junction City, OR 97448-1313
Phone (541) 998-6750

3737 Shasta Way
Suite a
Klamath Falls, OR 97603-4982
Phone (541) 640-7625

4040 W 11TH Ave
Suite B
Eugene, OR 97402-5601
Phone (541) 500-2500

5781 Main St
Springfield, OR 97478-5426
Phone (541) 654-0282

598 E 13TH Ave
Eugene, OR 97401-4783
Phone (541) 636-3473

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA225843ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Icco, LLC Current Accepting new patients
Icco LLC CurrentSince Jul 28, 2025 Accepting new patients

Locations

600 Jefferson St
Ste 600
Lafayette, LA 70501
Phone (337) 202-0720

1800 Coburg Rd
Eugene, OR 97401
Phone (541) 342-1632

598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473

3675 Pacific Ave
#101
Forest Grove, OR 97116
Phone (971) 762-4611

1890 NW 6th St
Grants Pass, OR 97526
Phone (541) 507-0684

3737 Shasta Way
Ste A
Klamath Falls, OR 97603
Phone (541) 883-2337

3400 Cooperative Way
Lebanon, OR 97355
Phone (541) 333-6605

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.

NPI Registry JSON

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1417595653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 MERGANSER DR",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599018973",
            "telephone_number": "715-308-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 COBURG RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014995",
            "telephone_number": "541-345-8760",
            "fax_number": "541-345-8763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBEY",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-18",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA225843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.