ROGUE VALLEY PAIN PHYSICAL & REGENERATIVE MEDICINE LLC
NPI 1285327635
Nurse Practitioner - Family in Medford, OR

Q: What is Rogue Valley Pain Physical & Regenerative Medicine LLC's specialty?

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

Active since May 31, 2023

845 ALDER CREEK DR, MEDFORD, OR 97504(541) 200-0924(541) 200-0929 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Rogue Valley Pain Physical & Regenerative Medicine Llc NPPES

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

ROGUE VALLEY PAIN PHYSICAL & REGENERATIVE MEDICINE LLC (NPI 1285327635) is a healthcare organization registered as a family in Medford, Oregon and active in the NPI registry since May 2023. The organization lists Eric Wruck, Owner, as its authorized official.

NPPES Registry Identity

NPI1285327635

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameROGUE VALLEY PAIN PHYSICAL & REGENERATIVE MEDICINE LLC

Location Address845 ALDER CREEK DRMedford, OR 97504-8900

Mailing Address4951 Griffin Creek RdMedford, OR 97501-9586 · (541) 200-0924 · Fax (541) 200-0929

Phone(541) 200-0924

Fax(541) 200-0929

Organization SubpartNo

Authorized OfficialEric WruckOwner · (808) 250-1166

Enumeration DateMay 31, 2023

NPPES CertifiedMay 31, 2023

✔ NPI 1285327635 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

845 ALDER CREEK DR, Medford, OR 97504

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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)

Rogue Valley Pain Physical & Regenerative Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Rogue Valley Pain Physical & Regenerative Medicine LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Eric Wruck, DC, FNP-C

Nurse Practitioner

NPI 1528195310

95 LONO AVE STE 105
Kahului, HI 96732

(808) 873-0733

✔ PECOS✔ Accepts Medicare2,447 mi

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 Rogue Valley Pain Physical & Regenerative Medicine LLC's NPI number?

The NPI number for Rogue Valley Pain Physical & Regenerative Medicine LLC is 1285327635. It was assigned to this organization in the NPPES registry on May 31, 2023.

Where is Rogue Valley Pain Physical & Regenerative Medicine LLC located?

Rogue Valley Pain Physical & Regenerative Medicine LLC is located at 845 Alder Creek Dr, Medford, OR 97504. The listed phone number is (541) 200-0924.

What is Rogue Valley Pain Physical & Regenerative Medicine LLC's specialty?

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

Is Rogue Valley Pain Physical & Regenerative Medicine LLC enrolled in Medicare?

Yes. Rogue Valley Pain Physical & Regenerative Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rogue Valley Pain Physical & Regenerative Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Rogue Valley Pain Physical & Regenerative Medicine LLC. 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.

What insurance does Rogue Valley Pain Physical & Regenerative Medicine LLC accept?

Health plans from Moda Health Plan, Inc. list Rogue Valley Pain Physical & Regenerative Medicine LLC 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 Pain Physical & Regenerative Medicine LLC was last updated on May 31, 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.