Active NPI
Dea Nason Collins, MSN, FNP
- Family Nurse Practitioner
- Medford, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 097006629N1
- Practice address
- 229 W Stewart Ave
Medford, OR 97501-3663 - Phone
- (541) 282-8808
- Fax
- (541) 618-6452
- NPI assigned
- Jun 28, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 097006629N1 | OR | Primary |
Addresses
Primary practice location
229 W Stewart Ave
Medford, OR 97501-3663
Mailing address
2900 Doctors Park Dr
Suite 250
Medford, OR 97504-8198
Phone (541) 282-8808
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R105049 | Other | OR | MEDICARE GROUP PIN |
| 028285 | Medicaid | OR |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070124000383 | OR | Practitioner - Nurse Practitioner | 7911908652 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rogue Valley Physicians
Practice addresses (Care Compare)
229 W Stewart Ave
Medford, OR 97501-3663
Phone (541) 282-8808
Hospital & facility affiliations
- Accentcare Home Health of Rogue Valley, LLC
- Asante Rogue Regional Medical Center
- Asante Three Rivers Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rogue Valley Physicians PC | Family | Current | Accepting new patients |
| Rogue Valley Physicians | Current | Accepting new patients | |
| Rogue Valley Physicians | Current | Accepting new patients |
Locations
615 S 2nd St
Central Point, OR 97502
Phone (541) 789-4004
2900 Doctors Park Dr
Ste 250
Medford, OR 97504
Phone (541) 282-2208
229 W Stewart Ave
Medford, OR 97501
Phone (541) 282-8808
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Medford, OR
- NPI 1508083569
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Medford, OR
- NPI 1912228727
-
- General Acute Care Hospital
- Grants Pass, OR
- NPI 1801891809
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618444800000",
"number": "1063418697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 DOCTORS PARK DR",
"address_2": "SUITE 250",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048198",
"telephone_number": "541-282-8808",
"fax_number": "541-618-6452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 W STEWART AVE",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975013663",
"telephone_number": "541-282-8808",
"fax_number": "541-618-6452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "DEA",
"middle_name": "NASON",
"name_prefix": "Mrs.",
"credential": "MSN, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-28",
"last_updated": "2021-04-15",
"certification_date": "2021-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "097006629N1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PIN",
"identifier": "R105049",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "028285",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.