PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1922481456
Clinic/Center in Eagle Point, OR

Active since July 01, 2015
10830 HIGHWAY 62, EAGLE POINT, OR 97524(541) 830-4060(541) 830-4090 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 19, 2025, May 12, 2025, Aug 10, 2020 and 2 more (5 updates tracked since 2015).

About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1922481456), doing business as Pmg Eagle Point Pediatrics, is a healthcare organization registered as a clinic/center in Eagle Point, Oregon and active in the NPI registry since July 2015. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1922481456
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address10830 HIGHWAY 62Eagle Point, OR 97524-9516
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (541) 830-4060 · Fax (541) 830-4090
Fax(541) 830-4090
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollments · (425) 358-9786
Enumeration DateJuly 1, 2015
Last NPPES UpdateNovember 19, 20255 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
✔ NPI 1922481456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
10830 HIGHWAY 62, Eagle Point, OR 97524

Other Names 1

Doing Business AsPmg Eagle Point Pediatrics

Other Identifiers 1

Medicaid500688628OR

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Providence Health & Services - Oregon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

181

Medicare enrollment records show 181 clinicians reassign Medicare billing to Providence Health & Services - Oregon, which bills Medicare for the services they deliver. Of these, 67 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 21

Nurse Practitioner38
Internal Medicine22
Hospitalist21
Family Practice16
Obstetrics/Gynecology11
Pediatric Medicine11
Cardiovascular Disease (Cardiology)9
Clinical Psychologist9
13 other specialties44

Nearest to this location (20)

See all 181
Nurse Practitioner
NPI 1093292971
572 BARTON RD
Eagle Point, OR 97524
(541) 301-4907
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1194416701
393 W ANTELOPE RD
White City, OR 97503
(541) 600-4610
✔ PECOS✔ Accepts Medicare5.4 mi
Clinical Psychologist
NPI 1306652110
870 S FRONT ST STE 200
Central Point, OR 97502
(541) 732-8000
✔ PECOS✔ Accepts Medicare8.7 mi
Nurse Practitioner
NPI 1740538156
870 S FRONT ST STE 200
Central Point, OR 97502
(541) 732-8000
✔ PECOS✔ Accepts Medicare8.7 mi
Family Practice
NPI 1184719882
870 S FRONT ST
Central Point, OR 97502
(541) 664-3346
✔ PECOS✔ Accepts Medicare8.7 mi
Family Practice
NPI 1942396676
870 S FRONT ST SUITE 200
Central Point, OR 97502
(541) 664-3346
✔ PECOS✔ Accepts Medicare8.7 mi
Internal Medicine
NPI 1225778855
870 S FRONT ST STE 200
Central Point, OR 97502
(541) 732-8000
✔ PECOS✔ Accepts Medicare8.7 mi
Urology
NPI 1073589651
1698 E MCANDREWS RD STE 280
Medford, OR 97504
(541) 204-1699
✔ PECOS✔ Accepts Medicare9.2 mi
Urology
NPI 1003025875
1698 E MCANDREWS RD STE 280
Medford, OR 97504
(541) 204-1699
✔ PECOS✔ Accepts Medicare9.2 mi
Infectious Disease
NPI 1730568080
1698 E MCANDREWS RD STE 160
Medford, OR 97504
(541) 732-6070
✔ PECOS✔ Accepts Medicare9.2 mi
Pulmonary Disease
NPI 1497840813
1698 E MCANDREWS RD SUITE 400
Medford, OR 97504
(541) 732-7960
✔ PECOS✔ Accepts Medicare9.2 mi
Obstetrics/Gynecology
NPI 1942697669
1698 E MCANDREWS RD STE 350
Medford, OR 97504
(541) 732-7460
✔ PECOS✔ Accepts Medicare9.2 mi
General Surgery
NPI 1407943889
1698 E MCANDREWS RD SUITE 160
Medford, OR 97504
(541) 732-7874
✔ PECOS✔ Accepts Medicare9.2 mi
Pulmonary Disease
NPI 1366755126
1698 E MCANDREWS RD STE 400
Medford, OR 97504
(541) 732-7960
✔ PECOS9.2 mi
Certified Nurse Midwife (CNM)
NPI 1215127519
940 ROYAL AVE UNIT 350
Medford, OR 97504
(541) 732-7460
✔ PECOS✔ Accepts Medicare9.2 mi
Vascular Surgery
NPI 1174962369
940 ROYAL AVE UNIT 100
Medford, OR 97504
(541) 732-8388
✔ PECOS✔ Accepts Medicare9.2 mi
Hospitalist
NPI 1578712378
1111 CRATER LAKE AVE
Medford, OR 97504
(541) 732-5545
✔ PECOS✔ Accepts Medicare9.2 mi
Neurology
NPI 1770583338
920 ROYAL AVE
Medford, OR 97504
(541) 732-8400
✔ PECOS✔ Accepts Medicare9.3 mi
Physical Medicine and Rehabilitation
NPI 1356769798
827 SPRING ST
Medford, OR 97504
(541) 732-8360
✔ PECOS✔ Accepts Medicare9.3 mi
Pediatric Medicine
NPI 1134864564
840 ROYAL AVE STE 110
Medford, OR 97504
(541) 732-8370
✔ PECOS9.4 mi
See all 181 clinicians

Source: 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 Providence Health & Services - Oregon's NPI number?

The NPI number for Providence Health & Services - Oregon is 1922481456. It was assigned to this organization in the NPPES registry on July 1, 2015. The provider is doing business as PMG Eagle Point Pediatrics.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 10830 Highway 62, Eagle Point, OR 97524. The listed phone number is (541) 830-4060.

What is Providence Health & Services - Oregon's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Providence Health & Services - Oregon enrolled in Medicare?

Yes. Providence Health & Services - Oregon is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence Health & Services - Oregon?

According to the CMS Revalidation Reassignment List (October 2026 release), 181 clinicians in 21 Medicare specialties reassign their Medicare billing to Providence Health & Services - 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, 67 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Providence Health & Services - Oregon accept?

Health plans from Providence Health Plan list Providence Health & Services - Oregon 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 Providence Health & Services - 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.