PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1093976243
Clinic/Center in Medford, OR
About Providence Health & Services - Oregon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1093976243), doing business as Providence Medford Medical Center, is a healthcare organization registered as a clinic/center in Medford, Oregon and active in the NPI registry since June 2008. The organization lists Donald W Anderson, Assistant Secretary Of Enrollments, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Providence Health & Services - Oregon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
311Medicare enrollment records show 311 clinicians reassign Medicare billing to Providence Health & Services - Oregon, which bills Medicare for the services they deliver. Of these, 51 practice at this address and 113 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 28
Nearest to this location (20)
See all 311Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Providence Health & Services - Oregon's NPI number?
The NPI number for Providence Health & Services - Oregon is 1093976243. It was assigned to this organization in the NPPES registry on June 20, 2008. The provider is doing business as Providence Medford Medical Center and Providence Palliative Care South.
Where is Providence Health & Services - Oregon located?
Providence Health & Services - Oregon is located at 1111 Crater Lake Ave, Medford, OR 97504. The listed phone number is (541) 732-5250.
What is Providence Health & Services - Oregon's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Providence Health & Services - Oregon enrolled in Medicare?
Yes. Providence Health & Services - Oregon is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Providence Health & Services - Oregon?
According to the CMS Revalidation Reassignment List (October 2026 release), 311 clinicians in 28 Medicare specialties reassign their Medicare billing to Providence Health & Services - Oregon. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (47), Emergency Medicine (35) and Hospitalist (34). Of these, 51 practice at this address and 113 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Providence Health & Services - Oregon accept?
Health plans from Moda Health Plan, Inc. list Providence Health & Services - Oregon 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.
When was this NPI record last updated?
The NPPES record for Providence Health & Services - Oregon was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Providence Health & Services - Oregon · NPI 1093976243
Clinic/Center organization in Medford, Oregon. Organization record, active in the CMS NPPES registry since June 20, 2008.
## Identity
- **NPI:** 1093976243 (Entity type: Organization)
- **Enumerated:** June 20, 2008
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Also known as:** Providence Medford Medical Center (Doing Business As); Providence Palliative Care South (Doing Business As)
- **Organization subpart:** Yes (part of Providence Health & Services - Oregon)
- **Authorized official:** Donald Anderson, ASSISTANT SECRETARY OF ENROLLMENTS
## Practice location
- **Address:** 1111 CRATER LAKE AVE, Medford, OR 97504-6241
- **Phone:** (541) 732-5250 · **Fax:** (541) 732-5251
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 311 clinicians in 28 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (47), Emergency Medicine (35), Hospitalist (34); 51 practice at this address and 113 within 10 miles; [full list](https://npiprofile.com/npi/1093976243/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 29, 2025
- **Other identifiers:** Medicaid 500617088 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1093976243) · Data from the CMS NPPES public registry.