JACLYN SMITH (NP) – Nurse Practitioner, NPI 1013419530
Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
3,366 NURSE PRACTITIONER in OR
Loading map...
Provider Addresses for JACLYN SMITH (NP)
Saint Charles Medical Center, 2500, Northeast Neff Road, Bend, Deschutes County, Oregon, 97701, United States
BEND, OR 977016015
Phone: (541) 706-5880
Fax: (541) 706-5899
Type: Location
21215 Dove Ln
Bend, OR 977029526
Phone: (541) 233-3872
Type: Location
2600 NE NEFF RD
BEND, OR 977016337
Phone: (541) 706-7735
Fax: (541) 706-4806
Type: Location
21215, Dove Lane, Bend, Deschutes County, Oregon, 97702, United States
BEND, OR 977029526
Phone: (541) 233-3872
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2019-03-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20190327002837 | I | Nurse Practitioner | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99497 | Advance care planning, first 30 minutes | 53 | 52 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 52 | 35 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 40 | 40 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 20 | 17 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 15 | 13 | $0 |
Insurance plans in this area (ZIP 97701)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OR | |
| Orthopedic Surgery | NM | |
| Family Practice | OR | |
| Hand Surgery | OR | |
| Diagnostic Radiology | OR | |
| Physician Assistant | OR | |
| Nurse Practitioner | OR | |
| - | OR | |
| General Surgery | OR | |
| - | OR |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.