1. Home
  2. Directory
  3. Indiana
  4. Vincennes
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

JESSICA TEDROW
NPI 1093401572
Student in an Organized Health Care Education/Training Program in Vincennes, IN

Active since April 17, 2023PECOS Enrolled
121 BUNTIN ST, VINCENNES, IN 47591(812) 885-4413(812) 885-8621 Get Directions Write a Review

NPPES record last updated: April 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Tedrow NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA TEDROW (NPI 1093401572) is an individual student in an organized health care education/training program in Vincennes, Indiana and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093401572
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJESSICA TEDROW
Location Address121 BUNTIN STVincennes, IN 47591-1320
Mailing Address121 Buntin StVincennes, IN 47591-1320 · (812) 885-4413 · Fax (812) 885-8621
Phone(812) 885-4413
Fax(812) 885-8621
Sole ProprietorNo
Enumeration DateApril 17, 2023
NPPES CertifiedApril 17, 2023
✔ NPI 1093401572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
121 BUNTIN ST, Vincennes, IN 47591
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Tedrow is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAMRYN RIGGLE
Student in an Organized Health Care Education/Training Program
121 BUNTIN ST
VINCENNES, IN 47591
Knox County (812) 885-8622
HEATHER LANELL MOSER MD
Student in an Organized Health Care Education/Training Program
121 BUNTIN ST
VINCENNES, IN 47591
Knox County (812) 885-8617
ROBERT T EVANS LCSW
Social Worker (Clinical)
121 BUNTIN ST
VINCENNES, IN 47591
Knox County (812) 885-2700
JANE E MELVIN LCSW
Social Worker (Clinical)
121 BUNTIN ST
VINCENNES, IN 47591
Knox County (812) 885-2700
MRS. BEVERLY M BROWN LCSW
Social Worker (Clinical)
121 BUNTIN ST, SUITE 1
VINCENNES, IN 47591
Knox County (812) 885-2718
LEENA VARSHNEY MD
Psychiatry & Neurology (Psychiatry)
121 BUNTIN ST
VINCENNES, IN 47591
Knox County (812) 885-3228
DR. DANIEL WILLIAM STANLEY PAPPAS DO
Student in an Organized Health Care Education/Training Program
121 BUNTIN ST
VINCENNES, IN 47591
Knox County (812) 882-5220
JACKIE ANN MOWRER LCSW
Social Worker (Clinical)
121 BUNTIN ST
VINCENNES, IN 47591
Knox County (812) 885-2700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Tedrow's NPI number?

The NPI number for Jessica Tedrow is 1093401572. It was assigned to this individual provider in the NPPES registry on April 17, 2023.

Where is Jessica Tedrow located?

Jessica Tedrow practices at 121 Buntin St, Vincennes, IN 47591. The listed phone number is (812) 885-4413.

What is Jessica Tedrow's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jessica Tedrow enrolled in Medicare?

Yes. Jessica Tedrow is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Tedrow was last updated on April 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.