BENJAMIN EDWARD JEPPE (D.C., AGPCNP) – Internist Chiropractor, NPI 1598702367

BENJAMIN EDWARD JEPPE (D.C., AGPCNP) is a healthcare provider. based in Roseburg, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials D.C., AGPCNP. They hold a License No. 2021108518NP-PP (OR). The NPI Number for BENJAMIN EDWARD JEPPE (D.C., AGPCNP) is 1598702367

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
BENJAMIN EDWARD JEPPE (D.C., AGPCNP)
NPI
1598702367
Phone
(541) 464-0788
Address
1700 NW GARDEN VALLEY BLVD STE 201
Enumeration Date
1 June 2006
Last Update Date
7 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5416728533
Graduation Year
2020 (6 years ago)
PAC ID
9234227240
Group Practice PAC ID
8921099474
Professional Enrollment ID
I20231215001784
Address ID
OR974716224RO2589XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

Provider Addresses for BENJAMIN EDWARD JEPPE (D.C., AGPCNP)

  • 1700 NW GARDEN VALLEY BLVD STE 201

    ROSEBURG, OR 974711636

    Phone: (541) 464-0788

    Type: Location

  • North Dresden Place, Garden City, Ada County, Idaho, 83704, United States

    GARDEN CITY, ID 837141391

    Phone: (208) 378-1190

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $214.

Total Amount is formed as General ($214) + Research ($0) + Ownership ($0) = $214.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($53).

Total Amount

$214

General + Research + Ownership

Payments

11

Total payment records

General Amount

$214

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

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: 2023-12-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20210917001330INurse PractitionerORTBD
I20230309002836INurse PractitionerWATBD
I20231215001784INurse PractitionerTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 97471)

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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: 8921099474View full group profile
NameSpecialtyState
P O D I A T R YOR
-OR
-OR
Nurse PractitionerOH
P S Y C H I A T R YND
Registered Dietitian Or Nutrition ProfessionalCO
-OR
P S Y C H I A T R YOR
Clinical Social WorkerMI
-OR

Reviews

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Frequently asked questions

What federal number belongs to BENJAMIN EDWARD JEPPE (D.C., AGPCNP)?
The federal identifier for BENJAMIN EDWARD JEPPE (D.C., AGPCNP) is NPI 1598702367.
Does this profile mean BENJAMIN EDWARD JEPPE (D.C., AGPCNP) is currently active?
Yes — BENJAMIN EDWARD JEPPE (D.C., AGPCNP) appears active in the national provider directory.
Does BENJAMIN EDWARD JEPPE (D.C., AGPCNP) list a primary specialty?
If you are matching referrals, note Internist Chiropractor for BENJAMIN EDWARD JEPPE (D.C., AGPCNP). Clinical services aligned with this taxonomy classification.
What location shows for BENJAMIN EDWARD JEPPE (D.C., AGPCNP)?
We surface Roseburg, Oregon for BENJAMIN EDWARD JEPPE (D.C., AGPCNP) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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