KELLY EILEEN CHURCH FNP
NPI 1598309387
Nurse Practitioner - Family in Medford, OR

Active since November 05, 2019PECOS EnrolledAccepts Medicare Assignment
910 S CENTRAL AVE, MEDFORD, OR 97501(541) 618-1380 Get Directions Write a Review

NPPES record last updated: July 2, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 2, 2020, Jan 24, 2020, Nov 5, 2019 (3 updates tracked since 2019).

About Kelly Eileen Church Fnp NPPES

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

KELLY EILEEN CHURCH FNP (NPI 1598309387) is an individual family provider in Medford, Oregon, licensed in Oregon (202000541NP-PP) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, is affiliated with Asante Rogue Regional Medical Center, and maintains a secondary practice location in Medford.

NPPES Registry Identity

NPI1598309387
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY EILEEN CHURCHCredential: FNP
Location Address910 S CENTRAL AVEMedford, OR 97501-7822
Mailing Address931 Chevy WayMedford, OR 97504-4127 · (541) 690-3555
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 5, 2019
Last NPPES UpdateJuly 2, 20203 updates tracked since enumeration
NPPES CertifiedJuly 2, 2020
NPI 1598309387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OR · 202000541NP-PP
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 201390291RN (OR)
910 S CENTRAL AVE, Medford, OR 97501

Secondary Practice Location 1

Location 1415 Greenbrae DrMedford, OR 97504-8140 · Phone (541) 659-7316

Accepted 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

Kelly Eileen Church 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 ID8820412869
PECOS Enrollment IDI20200722004051
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.

Hospital Affiliations CMS Care Compare

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

Asante Rogue Regional Medical Center

Acute Care Hospitals · Medford, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380018
Location2825 E Barnett RoadMedford, OR 97504 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97501 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 16

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

Clinic/Center (Federally Qualified Health Center (FQHC))
910 S CENTRAL AVE
MEDFORD, OR 97501
Nurse Practitioner (Family)
910 S CENTRAL AVE
MEDFORD, OR 97501
Nurse Practitioner (Family)
910 S CENTRAL AVE
MEDFORD, OR 97501
Registered Nurse
910 S CENTRAL AVE
MEDFORD, OR 97501
Nurse Practitioner
910 S CENTRAL AVE
MEDFORD, OR 97501
Family Medicine
910 S CENTRAL AVE
MEDFORD, OR 97501
Counselor (Mental Health)
910 S CENTRAL AVE
MEDFORD, OR 97501
Nurse Practitioner (Psychiatric/Mental Health)
910 S CENTRAL AVE
MEDFORD, OR 97501

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 Kelly Church's NPI number?

The NPI number for Kelly Church is 1598309387. It was assigned to this individual provider in the NPPES registry on November 5, 2019.

Where is Kelly Church located?

Kelly Church practices at 910 S Central Ave, Medford, OR 97501. The listed phone number is (541) 618-1380.

What is Kelly Church's specialty?

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

Is Kelly Church enrolled in Medicare?

Yes. Kelly Church 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 Kelly Church accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Kelly Church 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 Kelly Church affiliated with any hospitals?

According to CMS data, Kelly Church is affiliated with Asante Rogue Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Church was last updated on July 2, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.