IRIDESCENT WELLNESS CLINIC PC
NPI 1770167348
Nurse Practitioner - Family in Eugene, OR
About Iridescent Wellness Clinic Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IRIDESCENT WELLNESS CLINIC PC (NPI 1770167348) is a healthcare organization registered as a family in Eugene, Oregon and active in the NPI registry since May 2021. The organization lists Randa Jill Kucey, Fnp/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Iridescent Wellness Clinic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Iridescent Wellness Clinic PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Iridescent Wellness Clinic PC's NPI number?
The NPI number for Iridescent Wellness Clinic PC is 1770167348. It was assigned to this organization in the NPPES registry on May 10, 2021.
Where is Iridescent Wellness Clinic PC located?
Iridescent Wellness Clinic PC is located at 1907 Garden Ave Ste 203, Eugene, OR 97403. The listed phone number is (503) 739-5705.
What is Iridescent Wellness Clinic PC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Iridescent Wellness Clinic PC enrolled in Medicare?
Yes. Iridescent Wellness Clinic PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Iridescent Wellness Clinic PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Iridescent Wellness Clinic PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Iridescent Wellness Clinic PC accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Iridescent Wellness Clinic PC 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 Iridescent Wellness Clinic PC was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Iridescent Wellness Clinic Pc · NPI 1770167348
Family organization in Eugene, Oregon. Organization record, active in the CMS NPPES registry since May 10, 2021.
## Identity
- **NPI:** 1770167348 (Entity type: Organization)
- **Enumerated:** May 10, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Randa Kucey, FNP/OWNER
## Practice location
- **Address:** 1907 GARDEN AVE STE 203, Eugene, OR 97403-1965
- **Phone:** (503) 739-5705
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1770167348) · Data from the CMS NPPES public registry.