BETHANY KRISTINE JENSEN PMHNP-BC
NPI 1124620117
Nurse Practitioner - Psychiatric/Mental Health in Salem, OR
About Bethany Kristine Jensen Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BETHANY KRISTINE JENSEN PMHNP-BC (NPI 1124620117) is an individual psychiatric/mental health provider in Salem, Oregon, licensed in Oregon (202010385NP-PP) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Salem.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bethany Kristine Jensen Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Bethany Jensen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salem, OR 97302
- Reassigned Medicare billing, Oregon enrollment
- 22 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SALEM, OR 97301
SALEM, OR 97301
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 Bethany Jensen's NPI number?
The NPI number for Bethany Jensen is 1124620117. It was assigned to this individual provider in the NPPES registry on November 13, 2020. The provider is also known as Bethany K Fowler.
Where is Bethany Jensen located?
Bethany Jensen practices at 3180 Center St NE Ste 2100, Salem, OR 97301. The listed phone number is (503) 588-5351.
What is Bethany Jensen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Bethany Jensen enrolled in Medicare?
Yes. Bethany Jensen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Bethany Jensen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bethany Jensen reassigns Medicare benefits to Precision Mental Performance LLC (Salem, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bethany Jensen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bethany Jensen accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Bethany Jensen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Bethany Jensen was last updated on November 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Bethany Kristine Jensen, PMHNP-BC · NPI 1124620117
Psychiatric/Mental Health physician in Salem, Oregon. Individual provider, active in the CMS NPPES registry since November 13, 2020.
## Identity
- **NPI:** 1124620117 (Entity type: Individual)
- **Enumerated:** November 13, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 202010385NP-PP (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3180 CENTER ST NE STE 2100, Salem, OR 97301-4532
- **Phone:** (503) 588-5351
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Precision Mental Performance LLC (NPI 1780166116, Salem, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 13, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1124620117) · Data from the CMS NPPES public registry.