FAMILY PRACTICE GROUP
NPI 1114190121
Clinic/Center - Primary Care in Medford, OR
About Family Practice Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY PRACTICE GROUP (NPI 1114190121) is a healthcare organization registered as a primary care in Medford, Oregon and active in the NPI registry since April 2008. The organization holds 2 active CLIA laboratory certificates and lists Vicki Wagner, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Other Names 1
Other Identifiers 2
Group Practice 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)
Family Practice Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Family Practice Group, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 15 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (17)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 38D0627736
Rogue Valley Physicians/Family Practice Group · Medford, ORCertificate of Accreditation 38D0930769
Rogue Valley Physcians/Soim · Medford, ORFrequently 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 Rogue Valley Physicians PC's NPI number?
The NPI number for Rogue Valley Physicians PC is 1114190121. It was assigned to this organization in the NPPES registry on April 10, 2008. The provider is doing business as Family Practice Group.
Where is Rogue Valley Physicians PC located?
Rogue Valley Physicians PC is located at 229 W Stewart Ave, Medford, OR 97501. The listed phone number is (541) 282-8808.
What is Rogue Valley Physicians PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Rogue Valley Physicians PC enrolled in Medicare?
Yes. Rogue Valley Physicians PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Rogue Valley Physicians PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 5 Medicare specialties reassign their Medicare billing to Rogue Valley Physicians PC. 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 Family Practice (7), Internal Medicine (4) and Nurse Practitioner (4). Of these, 3 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Rogue Valley Physicians PC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Rogue Valley Physicians PC accept?
Health plans from Providence Health Plan list Rogue Valley Physicians PC 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 Rogue Valley Physicians PC was last updated on June 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Family Practice Group · NPI 1114190121
Primary Care organization in Medford, Oregon. Organization record, active in the CMS NPPES registry since April 10, 2008.
## Identity
- **NPI:** 1114190121 (Entity type: Organization)
- **Enumerated:** April 10, 2008
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Rogue Valley Physicians Pc
- **Organization subpart:** Yes (part of Rogue Valley Physicians Pc)
- **Authorized official:** Vicki Wagner, CEO
## Practice location
- **Address:** 229 W STEWART AVE, Medford, OR 97501-3663
- **Phone:** (541) 282-8808 · **Fax:** (541) 681-6452
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 17 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (7), Internal Medicine (4), Nurse Practitioner (4); 3 practice at this address and 15 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 3, 2008
- **Other identifiers:** Medicaid 218621 (OR); Medicare PIN R105049 (OR)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114190121) · Data from the CMS NPPES public registry.