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DARLENA ROSE PIKE FNP
NPI 1255614160
Nurse Practitioner - Family in Grants Pass, OR

Active since September 27, 2011PECOS EnrolledAccepts Medicare Assignment
1201 NE 7TH ST STE E, GRANTS PASS, OR 97526(541) 314-4894(541) 862-2806 Get Directions Write a Review

NPPES record last updated: March 4, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Darlena Rose Pike Fnp NPPES

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

DARLENA ROSE PIKE FNP (NPI 1255614160) is an individual family provider in Grants Pass, Oregon, licensed in Oregon (201150132NP) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, is affiliated with Asante Three Rivers Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1255614160
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDARLENA ROSE PIKECredential: FNP
Location Address1201 NE 7TH ST STE EGrants Pass, OR 97526-1451
Mailing Address1201 Ne 7th St Ste EGrants Pass, OR 97526-1451 · (541) 314-4894 · Fax (541) 314-4895
Phone(541) 314-4894
Fax(541) 862-2806
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 27, 2011
Last NPPES UpdateMarch 4, 2021
NPPES CertifiedNovember 17, 2020
✔ NPI 1255614160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OR · 201150132NP
1201 NE 7TH ST STE E, Grants Pass, OR 97526
Open in Google Maps ↗

Other Identifiers 1

Medicaid500642365OR

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Darlena Rose Pike Fnp 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 ID3971778481
PECOS Enrollment IDI20111213000042
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
131 services41 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
52 services31 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Asante Three Rivers Medical Center

Acute Care Hospitals · Grants Pass, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380002
Location500 SW Ramsey AvenueGrants Pass, OR 97527 · Josephine County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97526 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

QUALITY LIFE MEDICAL PRACTICE LLC
Clinic/Center (Primary Care)
1201 NE 7TH ST STE E
GRANTS PASS, OR 97526
Josephine County (541) 314-4894

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 Darlena Pike's NPI number?

The NPI number for Darlena Pike is 1255614160. It was assigned to this individual provider in the NPPES registry on September 27, 2011.

Where is Darlena Pike located?

Darlena Pike practices at 1201 NE 7th St Ste E, Grants Pass, OR 97526. The listed phone number is (541) 314-4894.

What is Darlena Pike's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Darlena Pike enrolled in Medicare?

Yes. Darlena Pike 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.

What insurance does Darlena Pike accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Darlena Pike 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.

Is Darlena Pike affiliated with any hospitals?

According to CMS data, Darlena Pike is affiliated with Asante Three Rivers Medical Center.

When was this NPI record last updated?

The NPPES record for Darlena Pike was last updated on March 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.