MS. ROSAMOND M REFFELL-PUGH FNP
NPI 1891087771
Nurse Practitioner in Astoria, OR

Active since May 10, 2011PECOS EnrolledAccepts Medicare Assignment
2275 COMMERCIAL ST, ASTORIA, OR 97103(503) 325-8315 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 19, 2026, Sep 23, 2016, Dec 15, 2015 (3 updates tracked since 2015).

About Ms. Rosamond M Reffell-pugh Fnp NPPES

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

MS. ROSAMOND M REFFELL-PUGH FNP (NPI 1891087771) is an individual nurse practitioner in Astoria, Oregon, licensed in Oregon (10006147) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS, is affiliated with Champlain Valley Physicians Hospital Medical Ctr, and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1891087771
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. ROSAMOND M REFFELL-PUGHCredential: FNP
Location Address2275 COMMERCIAL STAstoria, OR 97103-3327
Mailing AddressPo Box 190Toppenish, WA 98948-0190 · (509) 865-2395 · Fax (509) 865-0727
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 10, 2011
Last NPPES UpdateMarch 19, 20263 updates tracked since enumeration
NPPES CertifiedMarch 19, 2026
✔ NPI 1891087771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OR · 10006147
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X · License 6368461 (NY)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 340186 (NY)
2275 COMMERCIAL ST, Astoria, OR 97103

Secondary Practice Location 1

Location 1800 Carter Street, Lifetime Health Medical GroupRochester, NY 14621-2607 · Phone (585) 338-1200 · Fax (585) 544-1359

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Rosamond M Reffell-pugh 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 ID7618256421
PECOS Enrollment IDI20161118001933, I20260416000879
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Rosamond Reffell-pugh reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
2275 COMMERCIAL ST
Astoria, OR 97103
  • Reassigned Medicare billing, Oregon enrollment
  • 81 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
41 KESTREL ST
Rochester, NY 14613
  • Reassigned Medicare billing, New York enrollment
  • 38 clinicians in this Medicare group
End-Stage Renal Disease (ESRD) Treatment
124 FORD AVE
Ogdensburg, NY 13669
  • Reassigned Medicare billing, New York enrollment
  • 199 clinicians in this Medicare group
Psychiatric Hospital
214 KING ST STE B
Ogdensburg, NY 13669
  • Reassigned Medicare billing, New York enrollment
  • 129 clinicians in this Medicare group
Critical Access
133 PARK ST
Malone, NY 12953
  • Reassigned Medicare billing, New York enrollment
  • 326 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 4

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

Champlain Valley Physicians Hospital Medical Ctr

Acute Care Hospitals · Plattsburgh, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330250
Location75 Beekman StreetPlattsburgh, NY 12901 · Clinton County
Emergency services Birthing friendly

The University Of Vermont Health Network-Alice Hy

Critical Access Hospitals · Malone, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331321
Location133 Park Street, PO Box 729Malone, NY 12953 · Franklin County
Emergency services

Providence Seaside Hospital

Critical Access Hospitals · Seaside, OR
OwnershipVoluntary non-profit - Church
CMS Certification Number381303
Location725 S Wahanna RoadSeaside, OR 97138 · Clatsop County
Emergency services Birthing friendly

Columbia Memorial Hospital

Critical Access Hospitals · Astoria, OR
OwnershipProprietary
CMS Certification Number381320
Location2111 Exchange StreetAstoria, OR 97103 · Clatsop County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97103 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 20

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

Clinic/Center (Federally Qualified Health Center (FQHC))
2275 COMMERCIAL ST
ASTORIA, OR 97103
Nurse Practitioner
2275 COMMERCIAL ST
ASTORIA, OR 97103
Pharmacist
2275 COMMERCIAL ST
ASTORIA, OR 97103
Nurse Practitioner
2275 COMMERCIAL ST
ASTORIA, OR 97103
Counselor (Mental Health)
2275 COMMERCIAL ST
ASTORIA, OR 97103
Physician Assistant
2275 COMMERCIAL ST
ASTORIA, OR 97103
Clinical Medical Laboratory
2275 COMMERCIAL ST
ASTORIA, OR 97103
Social Worker (Clinical)
2275 COMMERCIAL ST
ASTORIA, OR 97103

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 Rosamond Reffell-pugh's NPI number?

The NPI number for Rosamond Reffell-pugh is 1891087771. It was assigned to this individual provider in the NPPES registry on May 10, 2011.

Where is Rosamond Reffell-pugh located?

Rosamond Reffell-pugh practices at 2275 Commercial St, Astoria, OR 97103. The listed phone number is (503) 325-8315.

What is Rosamond Reffell-pugh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Rosamond Reffell-pugh enrolled in Medicare?

Yes. Rosamond Reffell-pugh 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.

Which organizations bill Medicare for Rosamond Reffell-pugh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rosamond Reffell-pugh reassigns Medicare benefits to 5 organizations: Yakima Valley Farm Workers Clinic (Astoria, OR), Anthony L. Jordan Health Corporation (Rochester, NY), Carthage Area Hospital Inc (Ogdensburg, NY), Claxton-Hepburn Medical Center (Ogdensburg, NY) and Alice Hyde Medical Center (Malone, NY). Each 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 Rosamond Reffell-pugh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rosamond Reffell-pugh accept?

Health plans from Ambetter Health, BridgeSpan Health Company, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan and 1 other insurer list Rosamond Reffell-pugh 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 Rosamond Reffell-pugh affiliated with any hospitals?

According to CMS data, Rosamond Reffell-pugh is affiliated with Champlain Valley Physicians Hospital Medical Ctr, The University Of Vermont Health Network-Alice Hy, Providence Seaside Hospital and Columbia Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Rosamond Reffell-pugh was last updated on March 19, 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.