SUSAN M. MIX FNP
NPI 1467647115
Nurse Practitioner - Family in Medford, OR

Q: What is Susan Mix's NPI number?

The NPI number for Susan Mix is 1467647115. It was assigned to this individual provider in the NPPES registry on September 6, 2007.

Q: What is Susan Mix's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Susan Mix was last updated on September 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since September 06, 2007

760 GOLF VIEW DRIVE, SUITE #200, MEDFORD, OR 97504(541) 618-4400(541) 618-4406 Get Directions Write a Review

NPPES record last updated: September 26, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Susan M. Mix Fnp NPPES

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

SUSAN M. MIX FNP (NPI 1467647115) is an individual family provider in Medford, Oregon, licensed in Oregon (200750116NP) and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1467647115

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSUSAN M. MIXCredential: FNP

Location Address760 GOLF VIEW DRIVE, SUITE #200Medford, OR 97504

Mailing Address760 Golf View Drive, Suite #200Medford, OR 97504 · (541) 618-4400 · Fax (541) 618-4406

Phone(541) 618-4400

Fax(541) 618-4406

Sole ProprietorNo

Enumeration DateSeptember 6, 2007

Last NPPES UpdateSeptember 26, 2013

✔ NPI 1467647115 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 · 200750116NP

760 GOLF VIEW DRIVE, Medford, OR 97504

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Other Identifiers 2

Medicare PINR140955

Medicaid227698OR

Other Providers at the Same Location NPPES 2

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

RENU GUPTA M.D.

Specialist

760 GOLF VIEW DRIVE, SUITE #200
MEDFORD, OR 97504

Jackson County (541) 618-4400

RENAL CARE CONSULTANTS PC

Specialist

760 GOLF VIEW DRIVE, SUITE 200
MEDFORD, OR 97504

Jackson County (541) 618-4400

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 Susan Mix's NPI number?

The NPI number for Susan Mix is 1467647115. It was assigned to this individual provider in the NPPES registry on September 6, 2007.

Where is Susan Mix located?

Susan Mix practices at 760 Golf View Drive Suite #200, Medford, OR 97504. The listed phone number is (541) 618-4400.

What is Susan Mix's specialty?

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

When was this NPI record last updated?

The NPPES record for Susan Mix was last updated on September 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.