JACOLYN HUDSON – Hand Occupational Therapist, NPI 1639540149

JACOLYN HUDSON is a healthcare provider. based in Wilsonville, Oregon. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 348446 (OR). The NPI Number for JACOLYN HUDSON is 1639540149

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
JACOLYN HUDSON
NPI
1639540149
Phone
(503) 694-8366
Address
8995 SW Miley Rd Ste 109
Enumeration Date
9 October 2015
Last Update Date
2 March 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6086625060
Graduation Year
2015 (11 years ago)
PAC ID
9638472061
Group Practice PAC ID
3870489586
Professional Enrollment ID
I20190603000063
Address ID
WI537193811MA8054XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:10State licenses:1Digital endpointsOther names

223 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in OR

Provider Addresses for JACOLYN HUDSON

  • 8995 SW Miley Rd Ste 109

    Wilsonville, OR 970705485

    Phone: (503) 694-8366

    Fax: (503) 694-8581

    Type: Location

  • PO BOX 1114

    CANBY, OR 970131114

    Phone:

    Type: Mailing

  • 2213 COUNTRY CLUB RD

    WOODBURN, OR 970712811

    Phone: (503) 982-4200

    Fax: (503) 981-2323

    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: 2019-06-03

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
I20190603000063IOccupational Therapist In Private PracticeWITBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes15134$0
97165Evaluation for occupational therapy, typically 30 minutes3934$0
97530Therapy procedure using functional activities2212$0
97760Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes1811$0
View full utilization report →

Insurance plans in this area (ZIP 97070)

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Provider's Procedures

JACOLYN HUDSON performs procedures in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OCCUPATIONAL THERAPYOR97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes10711

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: 3870489586View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWI
-WI
Diagnostic RadiologyIA
Nurse PractitionerWI
-WI
Diagnostic RadiologyWI
-WI
Clinical Social WorkerWI
-WI
Diagnostic RadiologyWI

Reviews

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Frequently asked questions

Can I use this page to confirm JACOLYN HUDSON's NPI?
Yes. JACOLYN HUDSON is listed with NPI 1639540149 in the public NPI dataset.
Is JACOLYN HUDSON listed as active for patients and plans?
The listing shows JACOLYN HUDSON as active in the NPI system.
What is JACOLYN HUDSON's primary classification?
Hand Occupational Therapist is the headline specialty for JACOLYN HUDSON here. Clinical services aligned with this taxonomy classification.
What area does JACOLYN HUDSON serve?
JACOLYN HUDSON's listing highlights Wilsonville, Oregon; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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