Individual provider Active NPI

Lori Shott, APRN, FNP-C

  • Family Nurse Practitioner
  • Coos Bay, OR
National Provider Identifier
1083246730
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2020003768NP-PP Issued in OR
Practice address
1957 Thompson Rd Ste E
Coos Bay, OR 97420-2040
Phone
(541) 236-2778
Fax
(866) 892-1157
NPI assigned
Feb 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 200341669RN OR
Family Nurse Practitioner 363LF0000X 2020003768NP-PP OR Primary

Addresses

Primary practice location

1957 Thompson Rd Ste E
Coos Bay, OR 97420-2040

Mailing address

1957 Thompson Rd Ste E
Coos Bay, OR 97420-2040
Phone (541) 236-2778

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200611001684 OR Practitioner - Nurse Practitioner 4082036470 Reassigns benefits to 2 organizations
Practice locations: Coos Bay, OR

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1957 Thompson Rd
Suite E
Coos Bay, OR 97420-2040
Phone (541) 236-2778

Hospital & facility affiliations

  • Bay Area Hospital Hospital, Coos Bay, OR, CCN 380090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
200341669RNORMDRegistered Nurse
2020003768NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Medical LLC CurrentSince Aug 1, 2025 Accepting new patients
Waterfall Clinic Incorporated Current Accepting new patients
Waterfall Clinic Incorporated CurrentSince Jun 1, 2020 Accepting new patients
North Bend Medical Center Inc CurrentSince Sep 15, 2020 Accepting new patients
North Bend Medical Center Inc CurrentSince Sep 15, 2020 Accepting new patients
Waterfall Clinic, Incorporated CurrentSince Jun 1, 2020 Accepting new patients

Locations

826 S 11th St
Coos Bay, OR 97420

1957 Thompson Rd
Ste E
Coos Bay, OR 97420
Phone (541) 236-2778

1900 Woodland Dr
Coos Bay, OR 97420
Phone (541) 267-5151

1890 Waite St
Ste 1
North Bend, OR 97459
Phone (541) 435-7033

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1083246730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1957 THOMPSON RD STE E",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202040",
            "telephone_number": "541-236-2778",
            "fax_number": "866-892-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1957 THOMPSON RD STE E",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202040",
            "telephone_number": "541-236-2778",
            "fax_number": "866-892-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOTT",
        "first_name": "LORI",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "200341669RN",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "2020003768NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coos Bay, OR

Sources for this page

Verify at the official NPI Registry.