FOREST WAYNE SHIRA FNP-C
NPI 1689001000
Nurse Practitioner - Family in Roseburg, OR
About Forest Wayne Shira Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FOREST WAYNE SHIRA FNP-C (NPI 1689001000) is an individual family provider in Roseburg, Oregon, licensed in Oregon (201392914NP-PP) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS, is affiliated with Asante Three Rivers Medical Center, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Forest Wayne Shira Fnp-c 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.
Medicare Billing Reassignments
2Medicare enrollment records show Forest Shira reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grants Pass, OR 97527
- Reassigned Medicare billing, Oregon enrollment
- 207 clinicians in this Medicare group
Medford, OR 97504
- Reassigned Medicare billing, Oregon enrollment
- 267 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Asante Three Rivers Medical Center
Acute Care Hospitals · Grants Pass, ORAsante Rogue Regional Medical Center
Acute Care Hospitals · Medford, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97470 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Forest Shira's NPI number?
The NPI number for Forest Shira is 1689001000. It was assigned to this individual provider in the NPPES registry on September 30, 2013.
Where is Forest Shira located?
Forest Shira practices at 1863 NE Freemont Ave, Roseburg, OR 97470. The listed phone number is (541) 733-2230.
What is Forest Shira's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Forest Shira enrolled in Medicare?
Yes. Forest Shira 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.
Which organizations bill Medicare for Forest Shira's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Forest Shira reassigns Medicare benefits to 2 organizations: Asante Three Rivers Medical Center, LLC (Grants Pass, OR) and Asante (Medford, OR). Each 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 Forest Shira's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Forest Shira affiliated with any hospitals?
According to CMS data, Forest Shira is affiliated with Asante Three Rivers Medical Center and Asante Rogue Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Forest Shira was last updated on April 9, 2014. 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.
# Forest Wayne Shira, FNP-C · NPI 1689001000
Family physician in Roseburg, Oregon. Individual provider, active in the CMS NPPES registry since September 30, 2013.
## Identity
- **NPI:** 1689001000 (Entity type: Individual)
- **Enumerated:** September 30, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 201392914NP-PP (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1863 NE FREEMONT AVE, Roseburg, OR 97470-3535
- **Phone:** (541) 733-2230
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Asante Three Rivers Medical Center, LLC (NPI 1801891809, Grants Pass, OR); Asante (NPI 1770587107, Medford, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** April 9, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1689001000) · Data from the CMS NPPES public registry.