JENNIFER TOBIN (PA-C) – Medical Physician Assistant, NPI 1508947755

JENNIFER TOBIN (PA-C) is a healthcare provider. based in Salem, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA10004894 (WA). The NPI Number for JENNIFER TOBIN (PA-C) is 1508947755

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER TOBIN (PA-C)
NPI
1508947755
Phone
(503) 371-4044
Address
875 Oak St SE
Enumeration Date
17 October 2006
Last Update Date
22 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5034184222
Graduation Year
2005 (21 years ago)
PAC ID
2062414303
Group Practice PAC ID
1759328842
Professional Enrollment ID
I20131024001299
Address ID
OR970564023SC51377RDXX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for JENNIFER TOBIN (PA-C)

  • 875 Oak St SE

    Suite 5020

    Salem, OR 973013975

    Phone: (503) 371-4044

    Fax: (503) 371-4356

    Type: Location

  • 3181 SW SAM JACKSON PARK RD

    PORTLAND, OR 972393011

    Phone: (503) 494-7641

    Type: Location

  • Richard T. Jones Hall, 3181, Southwest Sam Jackson Park Road, Marquam Hill, Homestead, Portland, Metro, Multnomah County, Oregon, 97239, United States

    PORTLAND, OR 972393011

    Phone: (503) 494-7641

    Type: Mailing

  • 875, Oak Street Southeast, Salem, Marion County, Oregon, 97301, United States

    SUITE 5020

    SALEM, OR 973013975

    Phone: (503) 371-4044

    Fax: (503) 371-4356

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $157.

Total Amount is formed as General ($157) + Research ($0) + Ownership ($0) = $157.

Last reported payment date: 2024-02-15 • Largest payer in this snapshot: Gilead Sciences, Inc. ($125).

Total Amount

$157

General + Research + Ownership

Payments

2

Total payment records

General Amount

$157

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2013-10-24

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070215000323IPhysician AssistantWATBD
I20131024001299IPhysician AssistantORTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes3127$0
99215Established patient office or other outpatient visit, 40-54 minutes2219$0
99213Established patient office or other outpatient visit, 20-29 minutes1716$0
99205New patient office or other outpatient visit, 60-74 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 97301)

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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: 1759328842View full group profile

Reviews

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Frequently asked questions

How do I look up JENNIFER TOBIN (PA-C) by NPI?
Use NPI 1508947755 when you need to reference JENNIFER TOBIN (PA-C) in forms, claims, or directories.
Is JENNIFER TOBIN (PA-C) currently active in the NPI registry?
CMS-published data lists JENNIFER TOBIN (PA-C) as an active registrant.
What field does JENNIFER TOBIN (PA-C) work in?
You can think of JENNIFER TOBIN (PA-C) as practicing within Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place JENNIFER TOBIN (PA-C)?
The snapshot lists Salem, Oregon for JENNIFER TOBIN (PA-C); download NPPES for the complete set.
Is JENNIFER TOBIN (PA-C) a real provider?
This page reflects official NPPES data for NPI 1508947755. Always confirm identity and privileges with the practice and licensing boards.

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