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Jenelle Lynn Dickson , LE

Specialist β€’ Springfield, OR

Active NPI 1740866094 Individual Practitioner Female Practitioner
Practice location in NPPES

2942 Fenya St
Springfield, OR 974777945

Call 5418100884 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2942 Fenya St

Springfield, OR 974777945

Telephone 5418100884

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Springfield and Oregon

9 active clinicians are listed under Specialist with a practice address in Springfield, OR (1,085 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-07-11
Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

License # reported to NPPES OR BAP-E-10254980

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location July 12, 2025

Registered at 2942 FENYA ST, SPRINGFIELD, OR 974777945 (Tel: 5418100884)

πŸ“
Updated Business Mailing Address July 12, 2025

Registered at 2942 FENYA ST, SPRINGFIELD, OR 974777945 (Tel: 5418100884)

πŸ‘€
Provider Name / Credentials Updated July 12, 2025

Recorded as JENELLE DICKSON, LE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2025

Specialist (license number reported to NPPES: OR BAP-E-10254980)

βœ…
NPI Profile Active March 18, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 18, 2021

Registered at 2421 WASHBURN WAY STE 2631, KLAMATH FALLS, OR 976034525 (Tel: 5418851675)

πŸ“
Business Mailing Address (Initial Record) March 18, 2021

Registered at PO BOX 5084, KLAMATH FALLS, OR 976010117 (Tel: 5418100884)

πŸ‘€
Provider Name / Credentials (Initial Record) March 18, 2021

Recorded as JENELLE JEPSON, RBT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2021

Behavior Technician

🟒
Initial NPI Registration & Enumeration March 18, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1740866094
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 18, 2021
Last Update: July 12, 2025
Sole Proprietor: Yes

Other Specialists in Springfield

Healthcare providers in Springfield

Mailing Address

2942 Fenya St

Springfield, OR 974777945

Phone: 5418100884

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.