MR. NEIL ALLEN JEPSON (PHD) – Clinical Psychologist, NPI 1689687709
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
169 CLINICAL PSYCHOLOGIST in VT
Provider Addresses for MR. NEIL ALLEN JEPSON (PHD)
441 WATER TOWER CIRCLE
SUITE 100
COLCHESTER, VT 05446
Phone: (802) 310-7763
Fax: (802) 655-1115
Type: Mailing
441 Water Tower Circle
Suite 100
Colchester, VT 05446
Phone: (802) 310-7763
Fax: (802) 655-1115
Type: Location
1111 TRINITY LN STE 111
BLOOMINGTON, IL 617048112
Phone: (309) 663-6461
Type: Location
611 W. PARK ST.
FAPC
URBANA, IL 61801
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: 2016-04-18
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 |
|---|---|---|---|---|
| I20160418001117 | I | Clinical Psychologist | IL | 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 |
|---|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation | 14 | 14 | $0 |
Insurance plans in this area (ZIP 05446)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Clinical Psychologist | IL | |
| Hospitalist, Family Practice | TX | |
| Clinical Psychologist | IL | |
| Cardiovascular Disease (Cardiology) | IL | |
| Cardiovascular Disease (Cardiology) | IL | |
| - | IL | |
| Diagnostic Radiology | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL |
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