DR. JESSE BLEDSOE PH.D.
NPI 1891100871
Clinical Neuropsychologist in Bend, OR

Q: What is Jesse Bledsoe's NPI number?

The NPI number for Jesse Bledsoe is 1891100871. It was assigned to this individual provider in the NPPES registry on June 27, 2014.

Q: What is Jesse Bledsoe's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Jesse Bledsoe was last updated on September 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 27, 2014PECOS Enrolled

2500 NE NEFF RD, BEND, OR 97701(541) 382-4321 Get Directions Write a Review

NPPES record last updated: September 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2020, Aug 10, 2020 (2 updates tracked since 2020).

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About Dr. Jesse Bledsoe Ph.d. NPPES

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

DR. JESSE BLEDSOE PH.D. (NPI 1891100871) is an individual clinical neuropsychologist in Bend, Oregon, licensed in Oregon (3257) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891100871

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameDR. JESSE BLEDSOECredential: PH.D.

Location Address2500 NE NEFF RDBend, OR 97701-6015

Mailing Address2500 Ne Neff RdBend, OR 97701-6015 · (541) 382-4321

Phone(541) 382-4321

Sole ProprietorNo

Enumeration DateJune 27, 2014

Last NPPES UpdateSeptember 11, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2020

✔ NPI 1891100871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

Licenses✔ Licensed in OR · 3257✔ Licensed in WA · PY60461429

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

2500 NE NEFF RD, Bend, OR 97701

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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 (PECOS)

Dr. Jesse Bledsoe Ph.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.

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