ANDREA L NUTT FNP
NPI 1093192965
Nurse Practitioner - Family in Sheridan, OR

Active since April 29, 2015PECOS EnrolledAccepts Medicare Assignment
68.46/100
CMS Quality Rating
222 SE JEFFERSON ST, SHERIDAN, OR 97378(503) 843-1535(503) 843-1536 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2023, Dec 27, 2021, Oct 27, 2017 (3 updates tracked since 2017).

About Andrea L Nutt Fnp NPPES

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

ANDREA L NUTT FNP (NPI 1093192965) is an individual family provider in Sheridan, Oregon, licensed in Oregon (201705780NP-PP) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and maintains a secondary practice location in Roseburg.

NPPES Registry Identity

NPI1093192965
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANDREA L NUTTCredential: FNP
Location Address222 SE JEFFERSON STSheridan, OR 97378-1924
Mailing AddressPo Box 1023Roseburg, OR 97470-0232 · (541) 440-6390 · Fax (541) 440-6392
Fax(503) 843-1536
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 29, 2015
Last NPPES UpdateAugust 9, 20233 updates tracked since enumeration
NPPES CertifiedAugust 9, 2023
NPI 1093192965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OR · 201705780NP-PP
222 SE JEFFERSON ST, Sheridan, OR 97378

Secondary Practice Location 1

Location 1780 NW Garden Valley Blvd Ste 310Roseburg, OR 97471-2298 · Phone (541) 672-4885 · Fax (541) 998-4571

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Andrea L Nutt Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547533325
PECOS Enrollment IDI20170829004196
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.

Hospital Affiliations CMS Care Compare

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

Mercy Medical Center

Acute Care Hospitals · Roseburg, OR
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number380027
Location2700 NW Stewart ParkwayRoseburg, OR 97471 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97378 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

68.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.92
Promoting Interoperability85
Improvement Activities40
Cost38.83

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers17 claims17 services$196.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

Family Medicine
222 SE JEFFERSON ST
SHERIDAN, OR 97378
General Acute Care Hospital (Critical Access)
222 SE JEFFERSON ST
SHERIDAN, OR 97378
Family Medicine
222 SE JEFFERSON ST
SHERIDAN, OR 97378
Clinic/Center (Dental)
222 SE JEFFERSON ST
SHERIDAN, OR 97378
Nurse Practitioner (Family)
222 SE JEFFERSON ST
SHERIDAN, OR 97378
Clinic/Center (Federally Qualified Health Center (FQHC))
222 SE JEFFERSON ST
SHERIDAN, OR 97378
Pharmacy (Community/Retail Pharmacy)
222 SE JEFFERSON ST
SHERIDAN, OR 97378

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 Andrea Nutt's NPI number?

The NPI number for Andrea Nutt is 1093192965. It was assigned to this individual provider in the NPPES registry on April 29, 2015.

Where is Andrea Nutt located?

Andrea Nutt practices at 222 SE Jefferson St, Sheridan, OR 97378. The listed phone number is (503) 843-1535.

What is Andrea Nutt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Andrea Nutt enrolled in Medicare?

Yes. Andrea Nutt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Andrea Nutt accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Andrea Nutt 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 Andrea Nutt affiliated with any hospitals?

According to CMS data, Andrea Nutt is affiliated with Mercy Medical Center.

When was this NPI record last updated?

The NPPES record for Andrea Nutt was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.