DR. JENNIFER LEONG (M.D.) – Psychiatry Physician, NPI 1881894889
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
454 PSYCHIATRY in OR
Provider Addresses for DR. JENNIFER LEONG (M.D.)
2130 SW Jefferson St Ste 300
Portland, OR 972017711
Phone: (215) 850-8304
Type: Location
2119, Heights Drive, Upper Campus, Eau Claire, Eau Claire County, Wisconsin, 54701, United States
EAU CLAIRE, WI 547016130
Phone: (715) 717-5899
Type: Location
2626 SW SHERWOOD PL
PORTLAND, OR 972012285
Phone: (215) 850-8304
Type: Mailing
3750 SW US VETERANS HOSPITAL ROAD
PORTLAND, OR 97239
Phone: (503) 220-8262
Type: Location
1230, Arch Street, Chinatown, Philadelphia, Philadelphia County, Pennsylvania, 19107, United States
STE 4B
PHILADELPHIA, PA 191072822
Phone: (215) 850-8304
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.
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: 2021-04-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041110000363 | I | Psychiatry | PA | TBD |
| I20191111000783 | I | Psychiatry | CA | TBD |
| I20210415001484 | I | Psychiatry | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Endocrinology, Pediatric Medicine | OR | |
| Internal Medicine | OR | |
| Physician Assistant | OR | |
| - | OR | |
| Medical Genetics And Genomics | WA | |
| Nurse Practitioner | OR | |
| - | OR | |
| - | OR | |
| - | WA | |
| - | MN |
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