CATHERINE JEPSEN
NPI 1356162838
Physician Assistant in Dayton, OH

Q: What is Catherine Jepsen's NPI number?

The NPI number for Catherine Jepsen is 1356162838. It was assigned to this individual provider in the NPPES registry on October 17, 2024. The provider is also known as Catherine Thomas.

Q: What is Catherine Jepsen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Catherine Jepsen was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.

Active since October 17, 2024PECOS EnrolledAccepts Medicare Assignment

30 E APPLE ST STE 5254, DAYTON, OH 45409(937) 208-4200 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Catherine Jepsen NPPES

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

CATHERINE JEPSEN (NPI 1356162838) is an individual physician assistant in Dayton, Ohio, licensed in Ohio (50.008997RX) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with Grand Lake Health System, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1356162838

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCATHERINE JEPSEN

Location Address30 E APPLE ST STE 5254Dayton, OH 45409-2939

Mailing Address4370 Longfellow AveDayton, OH 45424-5949 · (937) 818-6739

Phone(937) 208-4200

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateOctober 17, 2024

Last NPPES UpdateOctober 24, 2024

NPPES CertifiedOctober 24, 2024

✔ NPI 1356162838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OH · 50.008997RX

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

30 E APPLE ST STE 5254, Dayton, OH 45409

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Other Names 1

Former Name (1)Catherine Thomas

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Catherine Jepsen is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002342243

PECOS Enrollment IDI20241211000713

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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Grand Lake Health System

Acute Care Hospitals · Saint Marys, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360032

Location200 Saint Clair StreetSaint Marys, OH 45885 · Auglaize County

Emergency services Birthing friendly

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360051

LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County

Emergency services Birthing friendly

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360174

Location3130 North County Road 25ATroy, OH 45373 · Miami County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45409 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

COURTNEY L SINE APRN

Nurse Practitioner (Acute Care)