WVP MEDICAL GROUP, LLC
NPI 1750684767
Clinic/Center - Primary Care in Keizer, OR

Active since December 13, 2010
5100 RIVER RD N, KEIZER, OR 97303(503) 393-2533(503) 393-5978 Get Directions Write a Review

NPPES record last updated: April 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wvp Medical Group, Llc NPPES

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

WVP MEDICAL GROUP, LLC (NPI 1750684767) is a healthcare organization registered as a primary care in Keizer, Oregon and active in the NPI registry since December 2010. The organization lists Dean Andretta, Cfo, as its authorized official.

NPPES Registry Identity

NPI1750684767
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameWVP MEDICAL GROUP, LLC
Location Address5100 RIVER RD NKeizer, OR 97303-5371
Mailing Address2995 Ryan Dr Se Ste 200Salem, OR 97301-5157 · (503) 371-7701
Fax(503) 393-5978
Organization SubpartYesParent: Mid Valley Ipa (wvp Health Authority)
Authorized OfficialDean AndrettaCfo · (503) 371-7701
Enumeration DateDecember 13, 2010
Last NPPES UpdateApril 17, 2018
✔ NPI 1750684767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
5100 RIVER RD N, Keizer, OR 97303

Other Identifiers 1

Medicaid288533OR

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wvp Medical Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Wvp Medical Group, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1245808047
2995 RYAN DR SE STE 200
Salem, OR 97301
(503) 371-7701
✔ PECOS✔ Accepts Medicare5.6 mi
Clinical Social Worker
NPI 1013099522
3995 MARCOLA ROAD
Springfield, OR 97477
(541) 726-1465
✔ PECOS✔ Accepts Medicare64 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Wvp Medical Group, LLC's NPI number?

The NPI number for Wvp Medical Group, LLC is 1750684767. It was assigned to this organization in the NPPES registry on December 13, 2010.

Where is Wvp Medical Group, LLC located?

Wvp Medical Group, LLC is located at 5100 River Rd N, Keizer, OR 97303. The listed phone number is (503) 393-2533.

What is Wvp Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Wvp Medical Group, LLC enrolled in Medicare?

Yes. Wvp Medical Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wvp Medical Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Wvp Medical Group, LLC, in Clinical Social Worker and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wvp Medical Group, LLC accept?

Health plans from Providence Health Plan list Wvp Medical Group, 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 Wvp Medical Group, LLC was last updated on April 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.