Individual provider Active NPI

Jennifer Sue Jehnsen, MD

  • Family Medicine Physician
  • The Dalles, OR
National Provider Identifier
1972030989
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD198906 Issued in OR
Practice address
1040 Webber St
The Dalles, OR 97058-3749
Phone
(541) 386-6380
NPI assigned
May 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP100598544 TX
Family Medicine Physician 207Q00000X MD198906 OR Primary

Addresses

Primary practice location

1040 Webber St
The Dalles, OR 97058-3749

Mailing address

849 Pacific Ave
Hood River, OR 97031-1956
Phone (541) 386-6380

Other practice location 1

1600 Providence Dr
Waco, TX 76707-2261
Phone (254) 313-4200

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201105002780 OR Practitioner - Family Practice 0648518175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Michigan Medical School, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Community HealthGroup PAC ID 6305759283, 51 clinicians

Practice addresses (Care Compare)

1010 Webber St
The Dalles, OR 97058-3749
Phone (541) 296-4610

1040 Webber St
The Dalles, OR 97058-3749
Phone (541) 296-4610

849 Pacific Ave
Hood River, OR 97031-1956
Phone (541) 386-6380

Hospital & facility affiliations

  • Adventist Health Home Care Home health agency, The Dalles, OR, CCN 387041
  • Mid-Columbia Medical Center Hospital, The Dalles, OR, CCN 380001
  • Providence Hood River Memorial Hospital Hospital, Hood River, OR, CCN 381318
  • Klickitat Valley Hospital Hospital, Goldendale, WA, CCN 501316

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD198906ORMDFamily Medicine Physician
BP100598544TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
One Community Health Current Accepting new patients
One Community Health CurrentSince Sep 9, 2020 Accepting new patients
One Community Health CurrentSince Sep 9, 2020 Accepting new patients

Locations

849 Pacific Ave
Hood River, OR 97031
Phone (541) 386-6380

1040 Webber St
The Dalles, OR 97058
Phone (541) 296-4610

Organizations & group practices 3

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 4

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": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1972030989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 PACIFIC AVE",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311956",
            "telephone_number": "541-386-6380",
            "fax_number": "254-313-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 WEBBER ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583749",
            "telephone_number": "541-386-6380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Providence Dr",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767072261",
            "country_code": "US",
            "telephone_number": "254-313-4200",
            "fax_number": "254-313-4531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEHNSEN",
        "first_name": "JENNIFER",
        "middle_name": "SUE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2022-07-21",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP100598544",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD198906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Dalles, OR

Sources for this page

Verify at the official NPI Registry.