OCEAN MEDICAL LLC
NPI 1902615677
Nurse Practitioner - Gerontology in Lincoln City, OR

Active since January 06, 2025CLIA 38D2314524 · Waiver
4488 NE DEVILS LAKE BLVD, LINCOLN CITY, OR 97367(541) 614-0407 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ocean Medical Llc NPPES

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

OCEAN MEDICAL LLC (NPI 1902615677) is a healthcare organization registered as a gerontology in Lincoln City, Oregon and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through November 20, 2026 and lists Elisa D Garrett, Owner, as its authorized official.

NPPES Registry Identity

NPI1902615677
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameOCEAN MEDICAL LLC
Location Address4488 NE DEVILS LAKE BLVDLincoln City, OR 97367-5065
Mailing Address4488 Ne Devils Lake BlvdLincoln City, OR 97367-5065 · (541) 614-0407
Organization SubpartNo
Authorized OfficialElisa D GarrettOwner · (541) 614-0407
Enumeration DateJanuary 6, 2025
NPPES CertifiedJanuary 6, 2025
NPI 1902615677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
4488 NE DEVILS LAKE BLVD, Lincoln City, OR 97367

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2314524

Ocean Medical · Lincoln City, OR
Active · expires Nov 20, 2026
CLIA Number38D2314524
Laboratory TypePractitioner Other
Certificate Effective DateNovember 21, 2024
Certificate Expiration DateNovember 20, 2026
Laboratory DirectorElisa D. Garrett
Laboratory Phone(541) 614-0407
Laboratory LocationOcean Medical4488 NE Devils Lake Blvd, Lincoln City, OR 97367
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Peer Specialist
4488 NE DEVILS LAKE BLVD
LINCOLN CITY, OR 97367
Peer Specialist
4488 NE DEVILS LAKE BLVD
LINCOLN CITY, OR 97367
Peer Specialist
4488 NE DEVILS LAKE BLVD
LINCOLN CITY, OR 97367
Nurse Practitioner (Gerontology)
4488 NE DEVILS LAKE BLVD
LINCOLN CITY, OR 97367
Peer Specialist
4488 NE DEVILS LAKE BLVD
LINCOLN CITY, OR 97367
Peer Specialist
4488 NE DEVILS LAKE BLVD
LINCOLN CITY, OR 97367

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 Ocean Medical LLC's NPI number?

The NPI number for Ocean Medical LLC is 1902615677. It was assigned to this organization in the NPPES registry on January 6, 2025.

Where is Ocean Medical LLC located?

Ocean Medical LLC is located at 4488 NE Devils Lake Blvd, Lincoln City, OR 97367. The listed phone number is (541) 614-0407.

What is Ocean Medical LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Does Ocean Medical LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2314524) is associated with this NPI, valid through November 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ocean Medical LLC accept?

Health plans from Moda Health Plan, Inc. list Ocean Medical LLC 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 Ocean Medical LLC was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.