STEVEN MICHAEL PRUDENCIO FNP
NPI 1811366545
Family Medicine in Roseburg, OR

Active since September 23, 2015PECOS EnrolledAccepts Medicare Assignment
340 NW MEDICAL LOOP, ROSEBURG, OR 97471(541) 464-5907 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 4, 2025, Feb 8, 2017 (2 updates tracked since 2017).

About Steven Michael Prudencio Fnp NPPES

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

STEVEN MICHAEL PRUDENCIO FNP (NPI 1811366545) is an individual family medicine provider in Roseburg, Oregon, licensed in Oregon (201909746NP-PP) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1811366545
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSTEVEN MICHAEL PRUDENCIOCredential: FNP
Location Address340 NW MEDICAL LOOPRoseburg, OR 97471-1645
Mailing AddressPo Box 2129Odessa, TX 79760-2129 · (432) 640-1963 · Fax (432) 640-1875
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 23, 2015
Last NPPES UpdateSeptember 4, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
NPI 1811366545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OR · 201909746NP-PP
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
340 NW MEDICAL LOOP, Roseburg, OR 97471

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 and accepts Medicare assignment

Steven Michael Prudencio 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 ID6800170531
PECOS Enrollment IDI20200402001997
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
114 services80 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
35 services35 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
32 services32 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
29 services29 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
24 services20 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services19 patients

Hospital Affiliations CMS Care Compare

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

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 9

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

Family Medicine
340 NW MEDICAL LOOP
ROSEBURG, OR 97471
Family Medicine
340 NW MEDICAL LOOP
ROSEBURG, OR 97471
Clinic/Center (Primary Care)
340 NW MEDICAL LOOP
ROSEBURG, OR 97471
Nurse Practitioner (Family)
340 NW MEDICAL LOOP
ROSEBURG, OR 97471
Family Medicine
340 NW MEDICAL LOOP
ROSEBURG, OR 97471
Clinic/Center
340 NW MEDICAL LOOP
ROSEBURG, OR 97471
Physician Assistant (Medical)
340 NW MEDICAL LOOP
ROSEBURG, OR 97471
Nurse Practitioner (Family)
340 NW MEDICAL LOOP
ROSEBURG, OR 97471

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 Steven Prudencio's NPI number?

The NPI number for Steven Prudencio is 1811366545. It was assigned to this individual provider in the NPPES registry on September 23, 2015.

Where is Steven Prudencio located?

Steven Prudencio practices at 340 NW Medical Loop, Roseburg, OR 97471. The listed phone number is (541) 464-5907.

What is Steven Prudencio's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Steven Prudencio enrolled in Medicare?

Yes. Steven Prudencio 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 Steven Prudencio accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Steven Prudencio 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 Steven Prudencio affiliated with any hospitals?

According to CMS data, Steven Prudencio is affiliated with Mercy Medical Center.

When was this NPI record last updated?

The NPPES record for Steven Prudencio was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.