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Richard Jensen
NPI 1417963588 · Physician Assistant · Peru, NY
Richard Jensen is a Physician Assistant provider in Peru, NY (NPI 1417963588).
Provider details
- NPI number
- 1417963588
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5546 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3384 State Route 22
Peru, NY 12972-5305
Phone: (518) 643-8008
Fax: (518) 643-8090
Street-level locationGet directions
Mailing address
553 Stevenson Rd
Westport, NY 12993-2219
Registry dates
- Enumerated
- 2006-07-31
- Last updated
- 2007-07-08
Frequently asked questions
- What is Richard Jensen's NPI number?
- Richard Jensen's National Provider Identifier (NPI) is 1417963588, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Richard Jensen's specialty?
- Richard Jensen is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Richard Jensen located?
- Richard Jensen's practice location on file with NPPES is 3384 State Route 22, Peru, NY 12972-5305.
- What is Richard Jensen's phone number?
- The practice phone number listed in the NPPES registry for Richard Jensen is (518) 643-8008.
- Is Richard Jensen's NPI active?
- Yes — Richard Jensen's NPI (1417963588) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.