Lydia Picotte, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA216351 Issued in OR

Practice address

3265 Hillcrest Park Dr
Medford, OR 97504-7657

Phone

(541) 275-6655

NPI assigned

Jul 20, 2023

Last updated

Jul 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Onepeak Southern Oregon PCGroup PAC ID 5395129670, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Accentcare Home Health of Rogue Valley, LLC Home health agency, Medford, OR, CCN 387098
• Asante Rogue Regional Medical Center Hospital, Medford, OR, CCN 380018
• Providence Medford Medical Center Hospital, Medford, OR, CCN 380075

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lydia.picottepac.p1@direct.opm.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Onepeak Southern Oregon PC

  • Family Medicine Physician
  • Medford, OR
  • NPI 1740917558
  Medicare reassignment Care Compare group
• RBD Southern Oregon Health, LLC

  • Primary Care Clinic/Center
  • White City, OR
  • NPI 1346993649
  NPD
• Nisha Jackson PC

  • Nurse Practitioner
  • Medford, OR
  • NPI 1124499124
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Accentcare Home Health of Rogue Valley, LLC

  • Home Health Agency
  • Medford, OR
  • NPI 1912228727
  Care Compare affiliation
• Asante

  dba Asante Rogue Regional Medical Center

  • General Acute Care Hospital
  • Medford, OR
  • NPI 1770587107
  Care Compare affiliation
• Providence Health & Services - Oregon

  dba Providence Medford Medical Center

  • General Acute Care Hospital
  • Medford, OR
  • NPI 1689755670
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1063192383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 E BARNETT RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3265 HILLCREST PARK DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047657",
            "telephone_number": "541-275-6655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Central Point",
            "state": "OR",
            "postal_code": "975022032",
            "country_code": "US",
            "telephone_number": "541-748-9650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "296 S Pacific Hwy",
            "address_purpose": "LOCATION",
            "city": "Talent",
            "state": "OR",
            "postal_code": "975406649",
            "country_code": "US",
            "telephone_number": "541-646-9928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICOTTE",
        "first_name": "LYDIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA216351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin M. Piacitelli, L.A.C
• Carolyn A Piatt, PT
• Robert Piatt
• Max Piccolomini, PHARMD
• Matthew Pich-Maxon, QMHA
• Bethany Pierce, LMT
• Corrina L Piercy, RDH
• Lora Pierpoint-Case, RN
• Linda M Pierson, NP
• Maria Christine Pietro, PT, DPT

• Medical Physician Assistant in Medford, OR
• Providers in Medford, OR by specialty
• Medical Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.