DR. REBECCA JANE HERREMAN SCRAFFORD (PSYD) – Clinical Psychologist, NPI 1093843427

DR. REBECCA JANE HERREMAN SCRAFFORD (PSYD) is a healthcare provider. based in Bend, Oregon. specializing in Clinical Psychologist. They hold the professional credentials PSYD. They hold a License No. 1930 (OR). The NPI Number for DR. REBECCA JANE HERREMAN SCRAFFORD (PSYD) is 1093843427

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. REBECCA JANE HERREMAN SCRAFFORD (PSYD)
NPI
1093843427
Phone
(541) 706-7730
Address
2542 NE COURTNEY DR
Enumeration Date
28 February 2007
Last Update Date
24 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5417062768
Graduation Year
2006 (20 years ago)
PAC ID
3476739251
Group Practice PAC ID
3870402852
Professional Enrollment ID
I20110511000670

Contacts

Secure Messaging
rscrafford18155@secure.stcharleshealthcare.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

Provider Addresses for DR. REBECCA JANE HERREMAN SCRAFFORD (PSYD)

  • 2542 NE COURTNEY DR

    BEND, OR 977017685

    Phone: (541) 706-7730

    Fax: (541) 706-4760

    Type: Mailing

  • 2600 NE NEFF RD

    BEND, OR 977016337

    Phone: (541) 706-6843

    Fax: (541) 598-3444

    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: 2011-05-11

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110511000670IClinical PsychologistORTBD

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.

Verify on CMS Revalidation Lookup Tool

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 97701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870402852View full group profile
NameSpecialtyState
Family PracticeOR
Internal MedicineCA
Internal MedicineOR
Emergency MedicineOR
P S Y C H I A T R YOR
-OR
Hospitalist, Internal MedicineOR
P S Y C H I A T R YOR
-OR
Internal Medicine, HospitalistOR

Reviews

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Frequently asked questions

What is the standard ID for DR. REBECCA JANE HERREMAN SCRAFFORD (PSYD) in the U.S.?
In the U.S., DR. REBECCA JANE HERREMAN SCRAFFORD (PSYD) is identified by NPI 1093843427.
Does the public listing show DR. REBECCA JANE HERREMAN SCRAFFORD (PSYD) as active?
DR. REBECCA JANE HERREMAN SCRAFFORD (PSYD)'s NPI record reflects an active status in NPPES.
What does the directory say DR. REBECCA JANE HERREMAN SCRAFFORD (PSYD) does?
Insurance directories may phrase it differently, but here DR. REBECCA JANE HERREMAN SCRAFFORD (PSYD) maps to Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. REBECCA JANE HERREMAN SCRAFFORD (PSYD)?
DR. REBECCA JANE HERREMAN SCRAFFORD (PSYD) is associated with Bend, Oregon in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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