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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JEREMY BRODHEAD N.P.
NPI 1801272513
Nurse Practitioner in Bend, OR

Active since August 04, 2015PECOS EnrolledAccepts Medicare Assignment
339 SW CENTURY DR STE 201, BEND, OR 97702(541) 316-5693(541) 255-0947 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2026, Feb 11, 2022, Apr 22, 2020 and 1 more (4 updates tracked since 2016).

About Jeremy Brodhead N.p. NPPES

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

JEREMY BRODHEAD N.P. (NPI 1801272513) is an individual nurse practitioner in Bend, Oregon, licensed in Oregon (200843322RN) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS, is affiliated with St Charles Medical Center - Bend, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1801272513
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJEREMY BRODHEADCredential: N.P.
Location Address339 SW CENTURY DR STE 201Bend, OR 97702-1338
Mailing Address339 Sw Century Dr Ste 201Bend, OR 97702-1338 · (541) 316-5693 · Fax (541) 255-0947
Phone(541) 316-5693
Fax(541) 255-0947
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 4, 2015
Last NPPES UpdateJuly 6, 20264 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1801272513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OR · 200843322RN
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 201507653NP-PP (OR)
339 SW CENTURY DR STE 201, Bend, OR 97702
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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 and accepts Medicare assignment

Jeremy Brodhead N.p. 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 ID3072814177
PECOS Enrollment IDI20151215000747
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

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

St Charles Medical Center - Bend

Acute Care Hospitals · Bend, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380047
Location2500 NE Neff RoadBend, OR 97701 · Deschutes County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97702 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
Most-billed visit code 99214
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 4

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

EILEEN JEWELL FAGAN MS, NCC
Counselor (Professional)
339 SW CENTURY DR STE 201
BEND, OR 97702
Deschutes County (541) 508-9354
TRANSFORMATION COUNSELING
Counselor (Professional)
339 SW CENTURY DR STE 201
BEND, OR 97702
Deschutes County (541) 508-9354
HEALING ROOTS MEDICINE LLC
Clinic/Center (Primary Care)
339 SW CENTURY DR STE 201
BEND, OR 97702
Deschutes County (541) 316-5693
MRS. HAVILAH NOEL BRODHEAD R.N., MSN, FNP-BC
Nurse Practitioner (Primary Care)
339 SW CENTURY DR STE 201
BEND, OR 97702
Deschutes County (541) 316-5693

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 Jeremy Brodhead's NPI number?

The NPI number for Jeremy Brodhead is 1801272513. It was assigned to this individual provider in the NPPES registry on August 4, 2015.

Where is Jeremy Brodhead located?

Jeremy Brodhead practices at 339 SW Century Dr Ste 201, Bend, OR 97702. The listed phone number is (541) 316-5693.

What is Jeremy Brodhead's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jeremy Brodhead enrolled in Medicare?

Yes. Jeremy Brodhead is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jeremy Brodhead accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jeremy Brodhead 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.

Is Jeremy Brodhead affiliated with any hospitals?

According to CMS data, Jeremy Brodhead is affiliated with St Charles Medical Center - Bend.

When was this NPI record last updated?

The NPPES record for Jeremy Brodhead was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.