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WVP THE DOCTORS CLINIC
NPI 1982148789
Family Medicine in Salem, OR

Active since December 13, 2016
5050 SKYLINE VILLAGE LOOP S, SALEM, OR 97306(503) 391-1110(503) 370-4237 Get Directions Write a Review

NPPES record last updated: April 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 17, 2018, Dec 13, 2016 (2 updates tracked since 2016).

About Wvp The Doctors Clinic NPPES

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

WVP THE DOCTORS CLINIC (NPI 1982148789) is a healthcare organization registered as a family medicine in Salem, Oregon and active in the NPI registry since December 2016. The organization lists Dean Andretta, Cfo, as its authorized official.

NPPES Registry Identity

NPI1982148789
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWVP MEDICAL GROUP, LLC
Location Address5050 SKYLINE VILLAGE LOOP SSalem, OR 97306-9490
Mailing Address2995 Ryan Dr Se Ste 200Salem, OR 97301-5157 · (503) 371-7701
Phone(503) 391-1110
Fax(503) 370-4237
Organization SubpartYesParent: Mid Valley Ipa, Inc
Authorized OfficialDean AndrettaCfo · (503) 371-7701
Enumeration DateDecember 13, 2016
Last NPPES UpdateApril 17, 20182 updates tracked since enumeration
✔ NPI 1982148789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
5050 SKYLINE VILLAGE LOOP S, Salem, OR 97306
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Other Names 1

Doing Business AsWvp The Doctors Clinic

Other Identifiers 1

Medicaid288533OR

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

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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)

Wvp The Doctors Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Wvp The Doctors Clinic, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Mindi Burdick, FNP-C
Nurse Practitioner
NPI 1245808047
2995 RYAN DR SE STE 200
Salem, OR 97301
(503) 371-7701
✔ PECOS✔ Accepts Medicare4.3 mi
James Tomasevich, LCSW, CADC II
Clinical Social Worker
NPI 1013099522
3995 MARCOLA ROAD
Springfield, OR 97477
(541) 726-1465
✔ PECOS✔ Accepts Medicare56 mi

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 Wvp Medical Group, LLC's NPI number?

The NPI number for Wvp Medical Group, LLC is 1982148789. It was assigned to this organization in the NPPES registry on December 13, 2016. The provider is doing business as Wvp The Doctors Clinic.

Where is Wvp Medical Group, LLC located?

Wvp Medical Group, LLC is located at 5050 Skyline Village Loop S, Salem, OR 97306. The listed phone number is (503) 391-1110.

What is Wvp Medical Group, LLC's specialty?

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

Is Wvp Medical Group, LLC enrolled in Medicare?

Yes. Wvp Medical Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wvp Medical Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Wvp Medical Group, LLC, in Clinical Social Worker and Nurse Practitioner. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wvp Medical Group, LLC accept?

Health plans from Providence Health Plan list Wvp Medical Group, 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 Wvp Medical Group, LLC was last updated on April 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.