ASHLAND INTEGRATIVE CARE PC – Psychiatric/Mental Health Nurse Practitioner, NPI 1659429249
Psychiatric/Mental Health Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ASHLAND INTEGRATIVE CARE PC
1745 ASHLAND ST
ASHLAND, OR 975202328
Phone: (541) 201-3173
Fax: (541) 201-3173
Type: Location
850, Siskiyou Boulevard, Ashland, Jackson County, Oregon, 97520, United States
SUITE 1
ASHLAND, OR 975202125
Phone: (541) 201-3173
Fax: (561) 427-1393
Type: Location
Ashland Post Office, 530, Claremont Avenue, Center Street Historic District, Westview Mobile Home Park, Ashland, Ashland County, Ohio, 44805, United States
ASHLAND, OR 975200058
Phone: (541) 201-3173
Fax: (561) 427-1393
Type: Mailing
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-07-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1044 days ago).
Enrollment records
1
Earliest due date
2023-07-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20150702001131 | O | Clinic/Group Practice | OR | 2023-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97520)
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