Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Benjamin Edward Jeppe, DC, AGPCNP

Individual provider Nurse Practitioner · NPI 1598702367

Benjamin Edward Jeppe, DC, AGPCNP is a Nurse Practitioner in Roseburg, Oregon. Qualified in 2020, 6 years ago. Practices with Cow Creek Band of Umpqua Tribe of Indians, a 22-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
6
Licensed in
OR
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

1700 NW Garden Valley Blvd Ste 201
Roseburg, OR 97471-1636
Phone: (541) 464-0788
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2021108518NP-PP (OR)

Record details

NPI number1598702367
Entity typeIndividual (Type 1)
GenderMale
Credentials DC , AGPCNP
Sole proprietorNo
NPI enumeratedJune 1, 2006
Last updated in NPPESOctober 7, 2021
Certification dateAugust 19, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Cow Creek Band Of Umpqua Tribe Of Indians — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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