MS. THERESA JAINN BIDWELL FNP/PA-C
NPI 1114966819
Physician Assistant - Medical in White City, OR
About Ms. Theresa Jainn Bidwell Fnp/pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. THERESA JAINN BIDWELL FNP/PA-C (NPI 1114966819) is an individual medical provider in White City, Oregon, licensed in Oregon (PA00451) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Theresa Jainn Bidwell Fnp/pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
WHITE CITY, OR 97503
WHITE CITY, OR 97503
WHITE CITY, OR 97503
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 Theresa Bidwell's NPI number?
The NPI number for Theresa Bidwell is 1114966819. It was assigned to this individual provider in the NPPES registry on June 6, 2006.
Where is Theresa Bidwell located?
Theresa Bidwell practices at 8495 Crater Lake Hwy 118-Gv, White City, OR 97503. The listed phone number is (541) 826-2111.
What is Theresa Bidwell's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Theresa Bidwell enrolled in Medicare?
Yes. Theresa Bidwell is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Theresa Bidwell was last updated on January 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Ms. Theresa Jainn Bidwell, FNP/PA-C · NPI 1114966819
Medical physician in White City, Oregon. Individual provider, active in the CMS NPPES registry since June 6, 2006.
## Identity
- **NPI:** 1114966819 (Entity type: Individual)
- **Enumerated:** June 6, 2006
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA00451 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 8495 CRATER LAKE HWY, 118-GV, White City, OR 97503-3011
- **Phone:** (541) 826-2111
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** January 23, 2017
- **Other identifiers:** Medicare UPIN VAD-000 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1114966819) · Data from the CMS NPPES public registry.