WHITNEY RACHELLE COULTAS
NPI 1053088575
Nurse Practitioner in Medford, OR

Active since August 23, 2021Opted out of Medicare · through Dec 19, 2027
3110 STATE ST, MEDFORD, OR 97504(541) 872-3580 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 14, 2026, Sep 14, 2022, May 3, 2022 and 1 more (4 updates tracked since 2021).

About Whitney Rachelle Coultas NPPES

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

WHITNEY RACHELLE COULTAS (NPI 1053088575) is an individual nurse practitioner in Medford, Oregon, licensed in Oregon (202111129NP-PP) and active in the NPI registry since August 2021. She has opted out of Medicare through December 19, 2027 and remains eligible to order and refer, is affiliated with Asante Rogue Regional Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1053088575
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameWHITNEY RACHELLE COULTAS
Location Address3110 STATE STMedford, OR 97504-8450
Mailing Address1355 Roxy Ann RdMedford, OR 97504-8065 · (541) 261-7123 · Fax (541) 825-9205
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 23, 2021
Last NPPES UpdateJanuary 14, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2026
NPI 1053088575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in OR · 202111129NP-PP
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 201602008RN (OR)
3110 STATE ST, Medford, OR 97504

Other Identifiers 1

Medicaid500798345OR

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Whitney Rachelle Coultas has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 19, 2025 through December 19, 2027.

Opt-Out Effective DateDecember 19, 2025
Opt-Out In Effect ThroughDecember 19, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 19

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
75 services31 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services15 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
27 services21 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
22 services17 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
22 services17 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
21 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Asante Rogue Regional Medical Center

Acute Care Hospitals · Medford, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380018
Location2825 E Barnett RoadMedford, OR 97504 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97504 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 2

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

Nurse Practitioner (Family)
3110 STATE ST
MEDFORD, OR 97504
Family Medicine
3110 STATE ST
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 Whitney Coultas's NPI number?

The NPI number for Whitney Coultas is 1053088575. It was assigned to this individual provider in the NPPES registry on August 23, 2021.

Where is Whitney Coultas located?

Whitney Coultas practices at 3110 State St, Medford, OR 97504. The listed phone number is (541) 872-3580.

What is Whitney Coultas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Whitney Coultas enrolled in Medicare?

No. Whitney Coultas has opted out of Medicare through December 19, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Whitney Coultas accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Whitney Coultas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Whitney Coultas affiliated with any hospitals?

According to CMS data, Whitney Coultas is affiliated with Asante Rogue Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Whitney Coultas was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.