Confederated Tribes of Siletz
A Medicare group practice based in Siletz, OR: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6204729288), with 14 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 6204729288
- Provider type
- Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
- Enrolled in
- OR
- Enrollments
- 2
- Group size
- 12 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040204000309 | OR | Part B Supplier - Clinic/Group Practice | 1316040249 |
| O20250429000096 | OR | Part A Provider - Federally Qualified Health Center (FQHC) | 1316040249 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Confederated Tribes of Siletz
- Federally Qualified Health Center (FQHC)
- Siletz, OR
- NPI 1316040249
-
Confederated Tribes of Siletz
- Federally Qualified Health Center (FQHC)
- Lincoln City, OR
- NPI 1306667845
Practice locations
- Siletz, OR2
- Lincoln City, OR1
Clinicians 14
Clinicians who reassign their Medicare benefits to this group (14) or whom Care Compare lists as members (12).
-
Christina L Bishop
- Family Nurse Practitioner
- Siletz, OR
- NPI 1497462329
-
Patricia Canning, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Siletz, OR
- NPI 1265474316
-
Christina M Cano-Young, LCSW
- Clinical Social Worker
- Koloa, HI
- NPI 1285269563
-
Eric Samuel Davis, LCSW
- Clinical Social Worker
- Salem, OR
- NPI 1790990224
-
Jennifer Drayton, FNP-C
- Family Nurse Practitioner
- Siletz, OR
- NPI 1982030458
-
Lisa M Emond, M.D.
- Internal Medicine Physician
- Siletz, OR
- NPI 1033101324
-
Alberta Diane Espinoza-Lyons, FNP-BC
- Family Nurse Practitioner
- New Lexington, OH
- NPI 1134371917
-
Michael A Flaningam, MD
- Internal Medicine Physician
- Siletz, OR
- NPI 1588775092
-
Katie Flickinger
- Family Nurse Practitioner
- Siletz, OR
- NPI 1982142998
-
Doro Hsu, OD
- Optometrist
- Berkeley, CA
- NPI 1598343105
-
Lisa D Taylor, NP
- Family Nurse Practitioner
- Siletz, OR
- NPI 1952403990
-
Lisa Lynn Vinal, NP
- Family Nurse Practitioner
- Lincoln City, OR
- NPI 1316211469
-
Audra Luz Kathleena Wisham, M.D.
- Emergency Medicine Physician
- Newport, OR
- NPI 1477961308
-
Ismene Nikolaos Zois, M.D.
- Family Medicine Physician
- Siletz, OR
- NPI 1487705810
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.