1. Home
  2. Directory
  3. Oregon
  4. Grants Pass
  5. Nurse Practitioner
  6. NPI Profile

REDWOOD FAMILY PRACTICE
NPI 1760946321
Nurse Practitioner - Family in Grants Pass, OR

Active since January 29, 2019
214 NE OUTLOOK AVE, GRANTS PASS, OR 97526(541) 471-1909(541) 471-1928 Get Directions Write a Review

NPPES record last updated: March 11, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 11, 2020, Dec 10, 2019, Jan 29, 2019 (3 updates tracked since 2019).

About Redwood Family Practice NPPES

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

REDWOOD FAMILY PRACTICE (NPI 1760946321) is a healthcare organization registered as a family in Grants Pass, Oregon and active in the NPI registry since January 2019. The organization lists David Ray, President, as its authorized official.

NPPES Registry Identity

NPI1760946321
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameDAVERA CORPORATION
Location Address214 NE OUTLOOK AVEGrants Pass, OR 97526-1412
Mailing Address214 Ne Outlook AveGrants Pass, OR 97526-1412 · (541) 471-1909
Phone(541) 471-1909
Fax(541) 471-1928
Organization SubpartNo
Authorized OfficialDavid RayPresident · (541) 471-1909
Enumeration DateJanuary 29, 2019
Last NPPES UpdateMarch 11, 20203 updates tracked since enumeration
NPPES CertifiedMarch 11, 2020
✔ NPI 1760946321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedChiropractorTaxonomy 111N00000X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedMassage TherapistTaxonomy 225700000X
214 NE OUTLOOK AVE, Grants Pass, OR 97526
Open in Google Maps ↗

Other Names 1

Doing Business AsRedwood Family Practice

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.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)

Redwood Family Practice 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 Redwood Family Practice, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Michelle Kitchen, FNP
Nurse Practitioner
NPI 1114771698
214 NE OUTLOOK AVE
Grants Pass, OR 97526
(541) 474-5665
✔ PECOS✔ Accepts MedicareSame address
David Ray, FNP
Nurse Practitioner
NPI 1811135759
825 NE 7TH ST
Grants Pass, OR 97526
(541) 955-7246
✔ PECOS✔ Accepts Medicare0.4 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 Davera Corporation's NPI number?

The NPI number for Davera Corporation is 1760946321. It was assigned to this organization in the NPPES registry on January 29, 2019. The provider is doing business as Redwood Family Practice.

Where is Davera Corporation located?

Davera Corporation is located at 214 NE Outlook Ave, Grants Pass, OR 97526. The listed phone number is (541) 471-1909.

What is Davera Corporation's specialty?

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

Is Davera Corporation enrolled in Medicare?

Yes. Davera Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Davera Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Davera Corporation. 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 at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Davera Corporation accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Davera Corporation 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 Davera Corporation was last updated on March 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.