JESSICA JERDIN (PA-C) – Physician Assistant, NPI 1003516758
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for JESSICA JERDIN (PA-C)
452 Welch St
Silverton, OR 973811934
Phone: (503) 874-2454
Type: Location
2695 SW Cedar Hills Blvd Ste G140
Beaverton, OR 970051392
Phone: (503) 850-9950
Fax: (866) 252-2247
Type: Location
4103 MERCANTILE DR
LAKE OSWEGO, OR 970352556
Phone: (503) 850-9940
Fax: (877) 533-6717
Type: Mailing
PO BOX 190930
BOISE, ID 837190930
Phone: (208) 367-5170
Fax: (208) 367-5180
Type: Mailing
6165 W EMERALD ST
BOISE, ID 837048613
Phone: (208) 302-3900
Fax: (208) 302-3955
Type: Location
4103 Mercantile Dr
Lake Oswego, OR 970352556
Phone: (503) 850-9940
Fax: (877) 533-6717
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-05-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240730001137 | I | Physician Assistant | AZ | TBD |
| I20250502000800 | I | Physician Assistant | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97381)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| Physician Assistant | OR | |
| Physician Assistant | OR | |
| Orthopedic Surgery | WA | |
| Orthopedic Surgery | WA | |
| Physician Assistant | WI | |
| Physician Assistant | CA | |
| Hand Surgery, Orthopedic Surgery | OR | |
| Nurse Practitioner | WA | |
| Physician Assistant | OR |
Reviews
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