PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1992882500
Clinic/Center in Phoenix, OR
About Providence Health & Services - Oregon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1992882500), doing business as Providence Medical Group South, is a healthcare organization registered as a clinic/center in Phoenix, Oregon and active in the NPI registry since November 2006. The organization lists Donald Wayne Anderson, Asst Secretary For Enrollment, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
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
181Medicare enrollment records show 181 clinicians reassign Medicare billing to Providence Health & Services - Oregon, which bills Medicare for the services they deliver. Of these, 106 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 Providence Health & Services - Oregon's NPI number?
The NPI number for Providence Health & Services - Oregon is 1992882500. It was assigned to this organization in the NPPES registry on November 1, 2006. The provider is doing business as Providence Medical Group South.
Where is Providence Health & Services - Oregon located?
Providence Health & Services - Oregon is located at 205 N Phoenix Rd Suite A, Phoenix, OR 97535. The listed phone number is (541) 732-5760.
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, 106 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 BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon 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.
# Providence Health & Services - Oregon · NPI 1992882500
Clinic/Center organization in Phoenix, Oregon. Organization record, active in the CMS NPPES registry since November 1, 2006.
## Identity
- **NPI:** 1992882500 (Entity type: Organization)
- **Enumerated:** November 1, 2006
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Also known as:** PROVIDENCE MEDICAL GROUP SOUTH (Doing Business As)
- **Organization subpart:** Yes (part of Providence Health & Services - Oregon)
- **Authorized official:** Donald Anderson, ASST SECRETARY FOR ENROLLMENT
## Practice location
- **Address:** 205 N PHOENIX RD, SUITE A, Phoenix, OR 97535-9104
- **Phone:** (541) 732-5760 · **Fax:** (541) 732-3406
## 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); 106 practice within 10 miles; [full list](https://npiprofile.com/npi/1992882500/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 19, 2025
- **Other identifiers:** Medicaid 278307 (OR); Other CG6801 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1992882500) · Data from the CMS NPPES public registry.