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JESSE TYSON KUPFER DO
NPI 1376491597
Student in an Organized Health Care Education/Training Program in Salem, VA

Active since March 21, 2026PECOS Enrolled
1902 BRAEBURN DR, SALEM, VA 24153(540) 204-3274 Get Directions Write a Review

NPPES record last updated: March 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jesse Tyson Kupfer Do NPPES

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

JESSE TYSON KUPFER DO (NPI 1376491597) is an individual student in an organized health care education/training program in Salem, Virginia and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376491597
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJESSE TYSON KUPFERCredential: DO
Location Address1902 BRAEBURN DRSalem, VA 24153-7304
Mailing Address1900 Electric RdSalem, VA 24153-7474 · (540) 204-3274
Phone(540) 204-3274
Sole ProprietorNo
Enumeration DateMarch 21, 2026
NPPES CertifiedMarch 21, 2026
✔ NPI 1376491597 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.
1902 BRAEBURN DR, Salem, VA 24153
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jesse Tyson Kupfer Do 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 12

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

HILARY L LINDERMAN PSYD
Psychologist (Clinical)
1902 BRAEBURN DR
SALEM, VA 24153
Salem City (540) 444-0460
COMMONWEALTH HOSPITALIST GROUP, LLC
Hospitalist
1902 BRAEBURN DR
SALEM, VA 24153
Salem City (540) 772-2801
LEWIS-GALE MEDICAL CENTER, LLC
Psychiatric Unit
1902 BRAEBURN DR
SALEM, VA 24153
Salem City (540) 776-4000
LEWIS-GALE MEDICAL CENTER, LLC
Psychiatric Unit
1902 BRAEBURN DR
SALEM, VA 24153
Salem City (540) 776-4000
MRS. ANNE CARLISLE KIDD RPH BCPP
Pharmacist (Psychiatric)
1902 BRAEBURN DR
SALEM, VA 24153
Salem City (540) 772-2835
SEAN CONNOR MD
Student in an Organized Health Care Education/Training Program
1902 BRAEBURN DR
SALEM, VA 24153
Salem City (540) 204-3274
NATASHA DOSHI
Student in an Organized Health Care Education/Training Program
1902 BRAEBURN DR
SALEM, VA 24153
Salem City (540) 204-3274
MICHAEL BROWN
Social Worker (Clinical)
1902 BRAEBURN DR
SALEM, VA 24153
Salem City (540) 776-4000

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 Jesse Kupfer's NPI number?

The NPI number for Jesse Kupfer is 1376491597. It was assigned to this individual provider in the NPPES registry on March 21, 2026.

Where is Jesse Kupfer located?

Jesse Kupfer practices at 1902 Braeburn Dr, Salem, VA 24153. The listed phone number is (540) 204-3274.

What is Jesse Kupfer's specialty?

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

Is Jesse Kupfer enrolled in Medicare?

Yes. Jesse Kupfer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jesse Kupfer was last updated on March 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.