VIVIAN ENYO DZATA NP
NPI 1023245024
Nurse Practitioner - Pediatrics in Springfield, OR

Q: What is Vivian Dzata's NPI number?

The NPI number for Vivian Dzata is 1023245024. It was assigned to this individual provider in the NPPES registry on June 17, 2009.

Q: What is Vivian Dzata's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Vivian Dzata was last updated on July 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 17, 2009PECOS Enrolled

2073 OLYMPIC ST, SPRINGFIELD, OR 97477(541) 682-3550(541) 682-3551 Get Directions Write a Review

NPPES record last updated: July 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Vivian Enyo Dzata Np NPPES

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

VIVIAN ENYO DZATA NP (NPI 1023245024) is an individual pediatrics provider in Springfield, Oregon, licensed in Oregon (201602785NP-PP) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023245024

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameVIVIAN ENYO DZATACredential: NP

Location Address2073 OLYMPIC STSpringfield, OR 97477-3413

Mailing Address2073 Olympic StSpringfield, OR 97477-3413 · (541) 682-3550 · Fax (541) 682-3551

Phone(541) 682-3550

Fax(541) 682-3551

Sole ProprietorNo

Enumeration DateJune 17, 2009

Last NPPES UpdateJuly 25, 2016

✔ NPI 1023245024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in OR · 201602785NP-PP

2073 OLYMPIC ST, Springfield, OR 97477

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vivian Enyo Dzata Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97477 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

FRANCES K MOORE LPN

Licensed Practical Nurse