MRS. MOLLY JEAN BEEDLES (PA-C) – Physician Assistant, NPI 1225434798

MRS. MOLLY JEAN BEEDLES (PA-C) is a healthcare provider. based in Portland, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA59660 (CA). The NPI Number for MRS. MOLLY JEAN BEEDLES (PA-C) is 1225434798

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MOLLY JEAN BEEDLES (PA-C)
NPI
1225434798
Phone
(785) 331-6145
Address
3939 SW CANYON LANE
Enumeration Date
11 November 2014
Last Update Date
3 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6197405724
Graduation Year
2015 (11 years ago)
PAC ID
4486964285
Group Practice PAC ID
7810209715
Professional Enrollment ID
I20230621001105
Address ID
CA919423061LA8851XDRXX301

Contacts

Secure Messaging
mbeedles866935@oc.providencedirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:11State licenses:2Other namesUpdated within 12 months

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for MRS. MOLLY JEAN BEEDLES (PA-C)

  • 3939 SW CANYON LANE

    APT. 209

    PORTLAND, OR 97239

    Phone: (785) 331-6145

    Type: Mailing

  • PO BOX 10722

    PORTLAND, OR 972960722

    Phone: (503) 684-8252

    Type: Mailing

  • 3939 SW BOND AVE

    APT. 209

    PORTLAND, OR 972394706

    Phone: (785) 331-6145

    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: 2023-06-21

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
I20230621001105IPhysician AssistantCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 97239)

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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: 7810209715View full group profile
NameSpecialtyState
Internal Medicine, Pulmonary Disease, Critical Care (Intensivists)CA
Physician AssistantCA
Internal MedicineCA
Internal MedicineCA
-CA
-CA
Physician AssistantCA
-CA
Nurse PractitionerCA
Internal Medicine, Family PracticeCA

Reviews

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Frequently asked questions

Can I verify MRS. MOLLY JEAN BEEDLES (PA-C) with an NPI only?
You can start verification with NPI 1225434798 for MRS. MOLLY JEAN BEEDLES (PA-C), then check state licensing separately.
Is MRS. MOLLY JEAN BEEDLES (PA-C) listed as active for patients and plans?
The listing shows MRS. MOLLY JEAN BEEDLES (PA-C) as active in the NPI system.
What is MRS. MOLLY JEAN BEEDLES (PA-C) best known for clinically?
Directory data describes MRS. MOLLY JEAN BEEDLES (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does MRS. MOLLY JEAN BEEDLES (PA-C) list a practice location?
Patients near Portland, Oregon may find MRS. MOLLY JEAN BEEDLES (PA-C) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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