MS. AIMEE KODIAQ FNP
NPI 1760517098
Nurse Practitioner - Family in Roseburg, OR

Q: What is Aimee Kodiaq's NPI number?

The NPI number for Aimee Kodiaq is 1760517098. It was assigned to this individual provider in the NPPES registry on February 23, 2007.

Q: What is Aimee Kodiaq'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 Aimee Kodiaq was last updated on November 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 February 23, 2007PECOS Enrolled

913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97471(541) 440-1000 Get Directions Write a Review

NPPES record last updated: November 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 18, 2023, Jul 19, 2022, Dec 28, 2021 (3 updates tracked since 2021).

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About Ms. Aimee Kodiaq Fnp NPPES

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

MS. AIMEE KODIAQ FNP (NPI 1760517098) is an individual family provider in Roseburg, Oregon, licensed in Oregon (20075D066NP) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760517098

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. AIMEE KODIAQCredential: FNP

Location Address913 NW GARDEN VALLEY BLVDRoseburg, OR 97471-6523

Mailing Address1212 N 10th St Apt BCoos Bay, OR 97420-1981 · (503) 575-8941

Phone(541) 440-1000

Sole ProprietorNo

Enumeration DateFebruary 23, 2007

Last NPPES UpdateNovember 18, 20233 updates tracked since enumeration

NPPES CertifiedNovember 18, 2023

✔ NPI 1760517098 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

Licenses✔ Licensed in OR · 20075D066NP✔ Licensed in CO · 4984

913 NW GARDEN VALLEY BLVD, Roseburg, OR 97471

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Aimee Kodiaq Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97471 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 20

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

ROSEBURG VAMC

Department of Veterans Affairs (VA) Pharmacy