ELIZABETH DIVINE DNP
NPI 1801479936
Nurse Practitioner - Psychiatric/Mental Health in Medford, OR
About Elizabeth Divine Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH DIVINE DNP (NPI 1801479936) is an individual psychiatric/mental health provider in Medford, Oregon, licensed in Oregon (10021024) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elizabeth Divine Dnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MEDFORD, OR 97504
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 Elizabeth Divine's NPI number?
The NPI number for Elizabeth Divine is 1801479936. It was assigned to this individual provider in the NPPES registry on May 5, 2021.
Where is Elizabeth Divine located?
Elizabeth Divine practices at 1744 E Mcandrews Rd Ste B, Medford, OR 97504. The listed phone number is (503) 965-0349.
What is Elizabeth Divine's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Elizabeth Divine enrolled in Medicare?
Yes. Elizabeth Divine is registered in the Medicare PECOS enrollment system.
What insurance does Elizabeth Divine accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Elizabeth Divine 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 Elizabeth Divine was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Elizabeth Divine, DNP · NPI 1801479936
Psychiatric/Mental Health physician in Medford, Oregon. Individual provider, active in the CMS NPPES registry since May 5, 2021.
## Identity
- **NPI:** 1801479936 (Entity type: Individual)
- **Enumerated:** May 5, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 10021024 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 1744 E MCANDREWS RD STE B, Medford, OR 97504-5576
- **Phone:** (503) 965-0349
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** January 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1801479936) · Data from the CMS NPPES public registry.