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DR. MANDIE WIEBERS JENSEN M.D.
NPI 1548689250
Pediatrics - Neurodevelopmental Disabilities in Portland, OR

Active since April 09, 2014PECOS Enrolled
97.83/100
CMS Quality Rating
707 SW GAINES ST, PORTLAND, OR 97239(503) 452-3563(503) 494-4447 Get Directions Write a Review

NPPES record last updated: August 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mandie Wiebers Jensen M.d. NPPES

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

DR. MANDIE WIEBERS JENSEN M.D. (NPI 1548689250) is an individual neurodevelopmental disabilities provider in Portland, Oregon, licensed in Oregon (MD193592) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548689250
Entity TypeIndividualFemale
Primary Taxonomy2080P0008X
Provider Legal NameDR. MANDIE WIEBERS JENSENCredential: M.D.
Location Address707 SW GAINES STPortland, OR 97239-2901
Mailing Address707 Sw Gaines StPortland, OR 97239-2901 · (503) 452-3563 · Fax (503) 494-4447
Phone(503) 452-3563
Fax(503) 494-4447
Sole ProprietorNo
Enumeration DateApril 9, 2014
Last NPPES UpdateAugust 10, 2020
NPPES CertifiedAugust 10, 2020
✔ NPI 1548689250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neurodevelopmental DisabilitiesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0008X
License✔ Licensed in OR · MD193592
Definition
A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.
707 SW GAINES ST, Portland, OR 97239
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mandie Wiebers Jensen M.d. 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.97
Promoting Interoperability100
Improvement Activities40

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.

MS. MARGARET WOLF
Occupational Therapist
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-8095
MRS. LEAH BJORNSKOV WESSENBERG FNP
Nurse Practitioner (Family)
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-7859
DR. MICHAEL AVRAM HARRIS PH.D.
Psychologist (Clinical Child & Adolescent)
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-8942
DANIELLE MOYER PHD
Psychologist (Clinical)
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-6337
DAVID L. OLESON PT
Physical Therapist
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (800) 452-3563
JESSICA NASON
Physical Therapist
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (860) 917-2128
UNIVERSITY PROFESSIONAL SERVICES
Clinic/Center (Multi-Specialty)
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-9000
OREGON HEALTH AND SCIENCE UNIVERSITY
Clinic/Center
707 SW GAINES ST, MAILCODE: CDRC -- ATTN: JEFF REHA
PORTLAND, OR 97239
Multnomah County (503) 494-2709

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 Mandie Wiebers Jensen's NPI number?

The NPI number for Mandie Wiebers Jensen is 1548689250. It was assigned to this individual provider in the NPPES registry on April 9, 2014.

Where is Mandie Wiebers Jensen located?

Mandie Wiebers Jensen practices at 707 SW Gaines St, Portland, OR 97239. The listed phone number is (503) 452-3563.

What is Mandie Wiebers Jensen's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neurodevelopmental Disabilities, with taxonomy code 2080P0008X.

Is Mandie Wiebers Jensen enrolled in Medicare?

Yes. Mandie Wiebers Jensen is registered in the Medicare PECOS enrollment system.

What insurance does Mandie Wiebers 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 Mandie Wiebers 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 Mandie Wiebers Jensen was last updated on August 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.