RIVER ROCK FAMILY PRACTICE PC
NPI 1184052136
Nurse Practitioner - Family in Grants Pass, OR
About River Rock Family Practice Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RIVER ROCK FAMILY PRACTICE PC (NPI 1184052136) is a healthcare organization registered as a family in Grants Pass, Oregon and active in the NPI registry since October 2013. The organization maintains a secondary practice location in Medford and lists Tammy Harrison, Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
River Rock Family Practice Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to River Rock Family Practice PC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
Source: 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 River Rock Family Practice PC's NPI number?
The NPI number for River Rock Family Practice PC is 1184052136. It was assigned to this organization in the NPPES registry on October 29, 2013.
Where is River Rock Family Practice PC located?
River Rock Family Practice PC is located at 1833 Nebraska Ave, Grants Pass, OR 97527. The listed phone number is (541) 621-4736.
What is River Rock Family Practice PC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is River Rock Family Practice PC enrolled in Medicare?
Yes. River Rock Family Practice PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through River Rock Family Practice PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to River Rock Family Practice 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for River Rock Family Practice PC was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# River Rock Family Practice Pc · NPI 1184052136
Family organization in Grants Pass, Oregon. Organization record, active in the CMS NPPES registry since October 29, 2013.
## Identity
- **NPI:** 1184052136 (Entity type: Organization)
- **Enumerated:** October 29, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Tammy Harrison, SECRETARY
## Practice location
- **Address:** 1833 NEBRASKA AVE, Grants Pass, OR 97527-5701
- **Phone:** (541) 621-4736
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 7, 2023
- **Other identifiers:** Other 200550153NP (OR); Other 026845; Other 1356355846
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Source: [NPI Profile](https://npiprofile.com/npi/1184052136) · Data from the CMS NPPES public registry.