MS. SOPHIA KENNEN GIACOMELLI
NPI 1124736764
Nurse Practitioner in Medford, OR

Q: What is Sophia Giacomelli's NPI number?

The NPI number for Sophia Giacomelli is 1124736764. It was assigned to this individual provider in the NPPES registry on November 14, 2022.

Q: What is Sophia Giacomelli's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sophia Giacomelli was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since November 14, 2022PECOS EnrolledAccepts Medicare Assignment

3617 S PACIFIC HWY, MEDFORD, OR 97501(541) 535-6239 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 7, 2025, Sep 9, 2025, Nov 14, 2022 (3 updates tracked since 2022).

On this page

About Ms. Sophia Kennen Giacomelli NPPES

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

MS. SOPHIA KENNEN GIACOMELLI (NPI 1124736764) is an individual nurse practitioner in Medford, Oregon, licensed in Oregon (10048417) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Medford, and is a graduate of Oregon Health Sciences University School Of Medicine (2025).

NPPES Registry Identity

NPI1124736764

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. SOPHIA KENNEN GIACOMELLI

Location Address3617 S PACIFIC HWYMedford, OR 97501-8957

Mailing Address931 Chevy WayMedford, OR 97504-4127

Phone(541) 535-6239

Sole ProprietorNo

Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2025

Enumeration DateNovember 14, 2022

Last NPPES UpdateOctober 7, 20253 updates tracked since enumeration

NPPES CertifiedOctober 7, 2025

✔ NPI 1124736764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in OR · 10048417

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.

3617 S PACIFIC HWY, Medford, OR 97501

Open in Google Maps ↗

Secondary Practice Location 1

Location 1638 Market StMedford, OR 97504-6126 · Phone (541) 535-6239

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Sophia Kennen Giacomelli 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 ID4486159951

PECOS Enrollment IDI20250925001558

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.

Medicare Billing Reassignment

Medicare enrollment records show Sophia Giacomelli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

La Clinica Del Valle Family Health Care Center Inc.

3.8 mi

Federally Qualified Health Center (FQHC)

221 W STEWART AVE
Medford, OR 97501

Reassigned Medicare billing, Oregon enrollment
56 clinicians in this Medicare group

NPI 1679896278 (541) 690-3500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97501 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.

TAMARA JOY CHAMBERS APRN, FNP-C

Nurse Practitioner (Family)