ROBERT JENSEN (MD) – Emergency Medicine Physician, NPI 1164469698

ROBERT JENSEN (MD) is a healthcare provider. based in Lakewood, Washington. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. MD00043539 (WA). The NPI Number for ROBERT JENSEN (MD) is 1164469698

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT JENSEN (MD)
NPI
1164469698
Phone
(253) 588-1711
Address
11315 Bridgeport Way SW
Enumeration Date
1 June 2006
Last Update Date
11 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Secondary Phone
4064145000
Graduation Year
2001 (25 years ago)
PAC ID
9133194004
Group Practice PAC ID
4688984164
Professional Enrollment ID
I20150724012030
Address ID
MT597156902BO915XXBLVD300

Contacts

Secure Messaging
rjensen7290905@direct.sanfordhealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness95
Years active:20State licenses:3Other names

1,206 EMERGENCY MEDICINE in WA

Provider Addresses for ROBERT JENSEN (MD)

  • 11315 Bridgeport Way SW

    Lakewood, WA 984993004

    Phone: (253) 588-1711

    Fax: (253) 581-6588

    Type: Location

  • 915 HIGHLAND BLVD

    BOZEMAN, MT 597156902

    Phone: (064) 414-5000

    Type: Mailing

  • 334 TOWN CENTER AVE

    BIG SKY, MT 597161713

    Phone: (406) 995-6995

    Type: Location

  • 505, South 336th Street, Federal Way, King County, Washington, 98003, United States

    SUITE 600

    FEDERAL WAY, WA 980036328

    Phone: (253) 838-6180

    Fax: (253) 838-6418

    Type: Mailing

  • Saint Clare Hospital, 11315, Bridgeport Way Southwest, Tahitian Apartments, Lakeview, Lakewood, Pierce County, Washington, 98499, United States

    LAKEWOOD, WA 984993004

    Phone: (253) 588-1711

    Fax: (253) 581-6588

    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: 2015-07-24

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
I20150724012030IEmergency MedicineMTTBD

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
99285Emergency department visit with high level of medical decision making123117$0
99284Emergency department visit with moderate level of medical decision making6562$0
99291Critical care, first 30-74 minutes2121$0
99283Emergency department visit with low level of medical decision making1212$0
View full utilization report →

Insurance plans in this area (ZIP 98499)

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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: 4688984164View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineWA
Pediatric Medicine, Internal MedicineMT
O B S T E T R I C S/ G Y N E C O L O G YMT
-MT
-MT
Nurse PractitionerMT
Nurse PractitionerOR
Emergency MedicineMN
N E U R O L O G YNC
O B S T E T R I C S/ G Y N E C O L O G YMT

Reviews

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Frequently asked questions

What number should I use to identify ROBERT JENSEN (MD) for billing?
Administrative and clinical systems typically use NPI 1164469698 for ROBERT JENSEN (MD).
Should I treat ROBERT JENSEN (MD) as an active provider?
Patients and plans typically see ROBERT JENSEN (MD) as active in the national extract.
What does the directory say ROBERT JENSEN (MD) does?
Insurance directories may phrase it differently, but here ROBERT JENSEN (MD) maps to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ROBERT JENSEN (MD)?
ROBERT JENSEN (MD) is associated with Lakewood, Washington in the same public data insurers reference.
Why is information missing for ROBERT JENSEN (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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