Unknown Individual – Nurse Practitioner, NPI 1639174527
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
2801 NW MERCY DR STE 300
ROSEBURG, OR 97471
Phone: (541) 677-1555
Fax: (541) 677-2113
Type: Location
Mercy Drive, Roseburg, Douglas County, Oregon, 97471, United States
ROSEBURG, OR 974712348
Phone: (541) 677-4619
Fax: (541) 677-2294
Type: Mailing
201 NW MEDICAL LOOP STE 190
ROSEBURG, OR 974718835
Phone: (541) 677-4619
Fax: (541) 677-2294
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $56.
Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.
Last reported payment date: 2023-03-22 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($21).
Total Amount
$56
General + Research + Ownership
Payments
3
Total payment records
General Amount
$56
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $21 |
| Alnylam Pharmaceuticals Inc. | $20 |
| Merck Sharp & Dohme LLC | $15 |
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.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 197 | 178 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 84 | 82 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 23 | 19 | $0 |
Insurance plans in this area (ZIP 97471)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | OR | 93284 | Evaluation, testing and programming adjustment of defibrillator with analysis, review and report | 29 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E P H R O L O G Y | KY | |
| P O D I A T R Y | OR | |
| Cardiovascular Disease (Cardiology) | WA | |
| - | OR | |
| G A S T R O E N T E R O L O G Y | OR | |
| Nephrology, Internal Medicine | WA | |
| Orthopedic Surgery | CA | |
| General Surgery | OR | |
| General Surgery | OR | |
| Cardiovascular Disease (Cardiology) | OR |
Reviews
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