1. Home
  2. Directory
  3. Oregon
  4. Medford
  5. Nurse Practitioner
  6. NPI Profile

EDEN PRACTITIONERS
NPI 1376219147
Nurse Practitioner - Family in Medford, OR

Active since August 20, 2021
843 E MAIN ST STE 204, MEDFORD, OR 97504(541) 329-0478(541) 314-9556 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2022, Aug 20, 2021 (2 updates tracked since 2021).

About Eden Practitioners NPPES

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

EDEN PRACTITIONERS (NPI 1376219147) is a healthcare organization registered as a family in Medford, Oregon and active in the NPI registry since August 2021. The organization lists Dane Fickes, Owner, as its authorized official.

NPPES Registry Identity

NPI1376219147
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameEDEN PRACTITIONERS LLC
Location Address843 E MAIN ST STE 204Medford, OR 97504-7137
Mailing Address843 E Main St Ste 204Medford, OR 97504-7137 · (541) 329-0478 · Fax (541) 314-9556
Phone(541) 329-0478
Fax(541) 314-9556
Organization SubpartNo
Authorized OfficialDane FickesOwner · (541) 329-0478
Enumeration DateAugust 20, 2021
Last NPPES UpdateAugust 12, 20222 updates tracked since enumeration
NPPES CertifiedAugust 12, 2022
✔ NPI 1376219147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedPharmacistTaxonomy 183500000X
Also ListedPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy 1835P0018X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
Also ListedNurse Practitioner · Community HealthTaxonomy 363LC1500X
843 E MAIN ST STE 204, Medford, OR 97504
Open in Google Maps ↗

Other Names 1

Doing Business AsEden Practitioners

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 ›

Other Providers at the Same Location NPPES

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

EDEN HEALTHCARE LLC
Pharmacy (Community/Retail Pharmacy)
843 E MAIN ST STE 204
MEDFORD, OR 97504
Jackson County (541) 329-0478

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 Eden Practitioners LLC's NPI number?

The NPI number for Eden Practitioners LLC is 1376219147. It was assigned to this organization in the NPPES registry on August 20, 2021. The provider is doing business as Eden Practitioners.

Where is Eden Practitioners LLC located?

Eden Practitioners LLC is located at 843 E Main St Ste 204, Medford, OR 97504. The listed phone number is (541) 329-0478.

What is Eden Practitioners LLC's specialty?

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

What insurance does Eden Practitioners LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Eden Practitioners 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 Eden Practitioners LLC was last updated on August 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.