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MARK PEQUIGNOT DNP FNP
NPI 1770272148
Nurse Practitioner - Family in Roseburg, OR

Active since May 02, 2023PECOS EnrolledAccepts Medicare Assignment
1700 NW GARDEN VALLEY BLVD STE 201, ROSEBURG, OR 97471(541) 236-9246(541) 464-0789 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark Pequignot Dnp Fnp NPPES

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

MARK PEQUIGNOT DNP FNP (NPI 1770272148) is an individual family provider in Roseburg, Oregon, licensed in Oregon (10010332) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1770272148
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMARK PEQUIGNOTCredential: DNP FNP
Location Address1700 NW GARDEN VALLEY BLVD STE 201Roseburg, OR 97471-1636
Mailing Address1700 Nw Garden Valley Blvd Ste 201Roseburg, OR 97471-1636 · (541) 236-9246 · Fax (541) 464-0789
Phone(541) 236-9246
Fax(541) 464-0789
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMay 2, 2023
Last NPPES UpdateMarch 1, 2024
NPPES CertifiedMarch 1, 2024
✔ NPI 1770272148 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
License✔ Licensed in OR · 10010332
1700 NW GARDEN VALLEY BLVD STE 201, Roseburg, OR 97471
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark Pequignot Dnp Fnp 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.

PECOS PAC ID9335509462
PECOS Enrollment IDI20230720001195
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Medical Center

Acute Care Hospitals · Roseburg, OR
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number380027
Location2700 NW Stewart ParkwayRoseburg, OR 97471 · Douglas County
Emergency services Birthing friendly

Bay Area Hospital

Acute Care Hospitals · Coos Bay, OR
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number380090
Location1775 Thompson RoadCoos Bay, OR 97420 · Coos County
Emergency services

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 3

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

BENJAMIN EDWARD JEPPE D.C., AGPCNP
Nurse Practitioner
1700 NW GARDEN VALLEY BLVD STE 201
ROSEBURG, OR 97471
Douglas County (541) 464-0788
EVE MARIE TRAILL PA-C
Physician Assistant
1700 NW GARDEN VALLEY BLVD STE 201
ROSEBURG, OR 97471
Douglas County (541) 464-0788
ALICE KOECH A-GNP-C
Nurse Practitioner
1700 NW GARDEN VALLEY BLVD STE 201
ROSEBURG, OR 97471
Douglas County (541) 464-0788

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 Mark Pequignot's NPI number?

The NPI number for Mark Pequignot is 1770272148. It was assigned to this individual provider in the NPPES registry on May 2, 2023.

Where is Mark Pequignot located?

Mark Pequignot practices at 1700 NW Garden Valley Blvd Ste 201, Roseburg, OR 97471. The listed phone number is (541) 236-9246.

What is Mark Pequignot's specialty?

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

Is Mark Pequignot enrolled in Medicare?

Yes. Mark Pequignot 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.

What insurance does Mark Pequignot accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Mark Pequignot 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.

Is Mark Pequignot affiliated with any hospitals?

According to CMS data, Mark Pequignot is affiliated with Mercy Medical Center and Bay Area Hospital.

When was this NPI record last updated?

The NPPES record for Mark Pequignot was last updated on March 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.