MS. SOPHIA KENNEN GIACOMELLI
NPI 1124736764
Nurse Practitioner in Medford, OR
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
Specialties & Licenses
Secondary Practice Location 1
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
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.
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.
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.
MEDFORD, OR 97501
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 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.
Where is Sophia Giacomelli located?
Sophia Giacomelli practices at 3617 S Pacific Hwy, Medford, OR 97501. The listed phone number is (541) 535-6239.
What is Sophia Giacomelli's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Sophia Giacomelli enrolled in Medicare?
Yes. Sophia Giacomelli 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.
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 10 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.
# Ms. Sophia Kennen Giacomelli · NPI 1124736764
Nurse Practitioner physician in Medford, Oregon. Individual provider, active in the CMS NPPES registry since November 14, 2022.
## Identity
- **NPI:** 1124736764 (Entity type: Individual)
- **Enumerated:** November 14, 2022
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 10048417 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3617 S PACIFIC HWY, Medford, OR 97501-8957
- **Phone:** (541) 535-6239
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Oregon Health Sciences University School Of Medicine, class of 2025
## Record status
- **NPPES last updated:** October 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1124736764) · Data from the CMS NPPES public registry.