SISTERS OF PROVIDENCE IN OREGON
NPI 1881770808
Clinic/Center in Shady Cove, OR
About Sisters Of Providence In Oregon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SISTERS OF PROVIDENCE IN OREGON (NPI 1881770808), doing business as Pmg South Shady Cove, is a healthcare organization registered as a clinic/center in Shady Cove, Oregon and active in the NPI registry since October 2006. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollments, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sisters Of Providence In Oregon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
181Medicare enrollment records show 181 clinicians reassign Medicare billing to Sisters Of Providence In Oregon, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 21
Nearest to this location (20)
See all 181Source: 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 Sisters Of Providence In Oregon's NPI number?
The NPI number for Sisters Of Providence In Oregon is 1881770808. It was assigned to this organization in the NPPES registry on October 31, 2006. The provider is doing business as Pmg South Shady Cove.
Where is Sisters Of Providence In Oregon located?
Sisters Of Providence In Oregon is located at 25 Erickson Avenue, Shady Cove, OR 97539. The listed phone number is (541) 878-3730.
What is Sisters Of Providence In Oregon's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Sisters Of Providence In Oregon enrolled in Medicare?
Yes. Sisters Of Providence In Oregon is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sisters Of Providence In Oregon?
According to the CMS Revalidation Reassignment List (October 2026 release), 181 clinicians in 21 Medicare specialties reassign their Medicare billing to Sisters Of Providence In Oregon. 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. The largest specialties are Nurse Practitioner (38), Internal Medicine (22) and Hospitalist (21). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Sisters Of Providence In Oregon was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Sisters Of Providence In Oregon · NPI 1881770808
Clinic/Center organization in Shady Cove, Oregon. Organization record, active in the CMS NPPES registry since October 31, 2006.
## Identity
- **NPI:** 1881770808 (Entity type: Organization)
- **Enumerated:** October 31, 2006
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Also known as:** PMG SOUTH SHADY COVE (Doing Business As)
- **Organization subpart:** Yes (part of Sisters Of Providence In Oregon)
- **Authorized official:** Donald Anderson, ASSISTANT SECRETARY ENROLLMENTS
## Practice location
- **Address:** 25 ERICKSON AVENUE, Shady Cove, OR 97539
- **Phone:** (541) 878-3730
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 181 clinicians in 21 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (38), Internal Medicine (22), Hospitalist (21); 1 practice within 10 miles; [full list](https://npiprofile.com/npi/1881770808/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 19, 2025
- **Other identifiers:** Other CG6801 (OR); Medicaid 288483 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1881770808) · Data from the CMS NPPES public registry.