ELIZABETH L PETHTEL (FNP) – Family Nurse Practitioner, NPI 1043386717

ELIZABETH L PETHTEL (FNP) is a healthcare provider. based in Medford, Oregon. specializing in Family Nurse Practitioner. They hold the professional credentials FNP. They hold a License No. O85072196 (OR). The NPI Number for ELIZABETH L PETHTEL (FNP) is 1043386717

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH L PETHTEL (FNP)
NPI
1043386717
Phone
(541) 864-8900
Address
3170 STATE ST
Enumeration Date
27 November 2006
Last Update Date
28 December 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5418648900
Graduation Year
1985 (41 years ago)
PAC ID
2466641154
Group Practice PAC ID
1254326259
Professional Enrollment ID
I20110111000912
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for ELIZABETH L PETHTEL (FNP)

  • 3170, State Street, Medford, Jackson County, Oregon, 97504, United States

    MEDFORD, OR 975048450

    Phone: (541) 864-8900

    Fax: (541) 245-3315

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97504)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254326259View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YOR
Certified Nurse Midwife (Cnm)OR
Nurse PractitionerMA
O B S T E T R I C S/ G Y N E C O L O G YOR
O B S T E T R I C S/ G Y N E C O L O G YOR
O B S T E T R I C S/ G Y N E C O L O G YOR
O B S T E T R I C S/ G Y N E C O L O G YOR
Nurse PractitionerOR

Reviews

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Frequently asked questions

How do payers reference ELIZABETH L PETHTEL (FNP)?
For ELIZABETH L PETHTEL (FNP), use NPI 1043386717 as the unique 10-digit identifier.
Is ELIZABETH L PETHTEL (FNP) shown as active in public data?
Registry records indicate ELIZABETH L PETHTEL (FNP) maintains an active NPI.
What expertise is attributed to ELIZABETH L PETHTEL (FNP)?
ELIZABETH L PETHTEL (FNP)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Oregon is ELIZABETH L PETHTEL (FNP) registered?
Use Medford, Oregon as the headline location for ELIZABETH L PETHTEL (FNP) here.
When was this NPI issued?
Enumeration for ELIZABETH L PETHTEL (FNP) is noted as November 27, 2006 where the registry provides it.

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