JESSICA J PAXTON (PSYD) – Clinical Psychologist, NPI 1720596398
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
647 CLINICAL PSYCHOLOGIST in OR
Provider Addresses for JESSICA J PAXTON (PSYD)
PO BOX 3158
PORTLAND, OR 972083158
Phone: (503) 215-6494
Type: Mailing
12442 SW SCHOLLS FERRY RD STE 100
TIGARD, OR 972230803
Phone: (503) 216-9200
Type: Location
414 N Meridian St
Newberg, OR 971322697
Phone: (503) 554-2390
Type: Location
George Fox University, 414, North Meridian Street, Newberg, Yamhill County, Oregon, 97132, United States
NEWBERG, OR 971322697
Phone:
Type: Mailing
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.
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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: 2022-11-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221108002712 | I | Clinical Psychologist | OR | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90832 | Psychotherapy, 30 minutes | 125 | 45 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 44 | 44 | $0 |
| 90834 | Psychotherapy, 45 minutes | 18 | 14 | $0 |
Insurance plans in this area (ZIP 97208)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | OR | |
| Mental Health Counselor | OR | |
| Clinical Psychologist | OR | |
| Nurse Practitioner | OR | |
| Clinical Psychologist | OR | |
| Clinical Psychologist | OR | |
| Clinical Psychologist | OR | |
| Clinical Psychologist | OR | |
| Clinical Psychologist | OR | |
| Clinical Psychologist | OR |
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