ELYSIAN HEALTH
NPI 1013458405
Nurse Practitioner - Adult Health in Medford, OR

Active since March 17, 2017
835 CRATER LAKE AVE, MEDFORD, OR 97504(541) 507-4141 Get Directions Write a Review

NPPES record last updated: March 17, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elysian Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELYSIAN HEALTH (NPI 1013458405) is a healthcare organization registered as an adult health in Medford, Oregon and active in the NPI registry since March 2017. The organization lists Gabrielle Fey, Owner, as its authorized official.

NPPES Registry Identity

NPI1013458405
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameELYSIAN HEALTH
Location Address835 CRATER LAKE AVEMedford, OR 97504-6505
Mailing Address1630 Williams Hwy, Ste 39Grants Pass, OR 97527-5660 · (541) 507-4141
Organization SubpartNo
Authorized OfficialGabrielle FeyOwner · (541) 507-4141
Enumeration DateMarch 17, 2017
NPI 1013458405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in OR · 201604728NP
835 CRATER LAKE AVE, Medford, OR 97504

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
835 CRATER LAKE AVE
MEDFORD, OR 97504
Physical Therapy Assistant
835 CRATER LAKE AVE
MEDFORD, OR 97504
Occupational Therapy Assistant
835 CRATER LAKE AVE
MEDFORD, OR 97504
Skilled Nursing Facility
835 CRATER LAKE AVE
MEDFORD, OR 97504
Family Medicine
835 CRATER LAKE AVE
MEDFORD, OR 97504
Occupational Therapist
835 CRATER LAKE AVE
MEDFORD, OR 97504
Occupational Therapist
835 CRATER LAKE AVE
MEDFORD, OR 97504
Physical Therapy Assistant
835 CRATER LAKE AVE
MEDFORD, OR 97504

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elysian Health's NPI number?

The NPI number for Elysian Health is 1013458405. It was assigned to this organization in the NPPES registry on March 17, 2017.

Where is Elysian Health located?

Elysian Health is located at 835 Crater Lake Ave, Medford, OR 97504. The listed phone number is (541) 507-4141.

What is Elysian Health's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Elysian Health was last updated on March 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.