ROGUE FUNCTIONAL WELLNESS LLC - NPI 1336485846 - Nurse Practitioner in Medford, OR

Q: What is Rogue Functional Wellness LLC's NPI number?

The NPI number for Rogue Functional Wellness LLC is 1336485846. It was assigned to this organization in the NPPES registry on January 2, 2013.

Q: What is Rogue Functional Wellness LLC's specialty?

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

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About Rogue Functional Wellness Llc NPPES

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

ROGUE FUNCTIONAL WELLNESS LLC (NPI 1336485846) is a healthcare organization registered as a nurse practitioner in Medford, Oregon and active in the NPI registry since January 2013. The organization holds a CLIA Waiver certificate valid through February 9, 2028 and lists Jason Jex, Owner, as its authorized official.

NPPES Registry Identity

NPI1336485846

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameROGUE FUNCTIONAL WELLNESS LLC

Location Address761 GOLF VIEW DR, STE CMedford, OR 97504-9655

Mailing Address761 Golf View Dr, Ste CMedford, OR 97504-9655 · (541) 326-4294 · Fax (866) 629-9347

Phone(541) 326-4294

Fax(866) 629-9347

Organization SubpartNo

Authorized OfficialJason JexOwner · (541) 326-4294

Enumeration DateJanuary 2, 2013

Last NPPES UpdateSeptember 27, 2015

✔ NPI 1336485846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

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.

761 GOLF VIEW DR, Medford, OR 97504

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Other Identifiers 1

Medicare PINR168426

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2073010

Rogue Functional Wellness LLC · Medford, OR

Active · expires Feb 9, 2028

CLIA Number38D2073010

Laboratory TypePractitioner Other

Certificate Effective DateFebruary 10, 2026

Certificate Expiration DateFebruary 9, 2028

Laboratory DirectorJason D. Jex

Laboratory Phone(541) 210-9520

Laboratory LocationRogue Functional Wellness LLC761 Golf View Dr Ste C, Medford, OR 97504

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

AUDIOLOGY & HEARING CARE, INC.

Audiologist

761 GOLF VIEW DR, SUITE B
MEDFORD, OR 97504

Jackson County (541) 779-9654

JASON D JEX FNP

Nurse Practitioner (Family)

761 GOLF VIEW DR, STE C
MEDFORD, OR 97504

Jackson County (541) 326-4294

DR. LAWRENCE F HELTON DPM

Podiatrist

761 GOLF VIEW DR, STE A
MEDFORD, OR 97504

Jackson County (541) 779-5263

DANNA RAE MORGAN NP

Nurse Practitioner

761 GOLF VIEW DR, UNIT C
MEDFORD, OR 97504

Jackson County (541) 326-4294

ALLISON H SCHMIDT M.A., CCC-A

Audiologist

761 GOLF VIEW DR, SUITE C
MEDFORD, OR 97504

Jackson County (541) 779-9654

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 Functional Wellness LLC's NPI number?

The NPI number for Rogue Functional Wellness LLC is 1336485846. It was assigned to this organization in the NPPES registry on January 2, 2013.

Where is Rogue Functional Wellness LLC located?

Rogue Functional Wellness LLC is located at 761 Golf View Dr Ste C, Medford, OR 97504. The listed phone number is (541) 326-4294.

What is Rogue Functional Wellness LLC's specialty?

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

Does Rogue Functional Wellness LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2073010) is associated with this NPI, valid through February 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rogue Functional Wellness LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Rogue Functional Wellness 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 Functional Wellness LLC was last updated on September 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.