Active NPI
Roza Saitlin Pacifico, NP
- Women's Health Nurse Practitioner
- Redmond, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 201502927NP
- Practice address
- 340 NW 5TH St Ste 101
Redmond, OR 97756-1869 - Phone
- (541) 526-6635
- Fax
- (541) 526-6636
- NPI assigned
- May 11, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 201502926RN | OR | |
| Women's Health Nurse Practitioner | 363LW0102X | 201502927NP | OR | Primary |
Addresses
Primary practice location
340 NW 5TH St Ste 101
Redmond, OR 97756-1869
Mailing address
PO Box 5579
Bend, OR 97708-5579
Phone (541) 706-5920
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rpacifico17896@secure.stcharleshealthcare.org |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Mercer University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
211 NW Larch Ave
Family Care
Redmond, OR 97756-1357
Phone (541) 548-2164
2600 NE Neff Rd
SCMG Imaging
Bend, OR 97701-6337
Phone (541) 706-4905
340 NW 5TH St
101 Cent Women HT
Redmond, OR 97756-1869
Phone (541) 526-6635
Hospital & facility affiliations
- St Charles Medical Center - Bend
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201502927NP | OR | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Current | Accepting new patients |
Locations
29358 Network Pl
Chicago, IL 60673
2500 NE Neff Rd
Bend, OR 97701
Phone (541) 388-4333
1885 NE Purcell Blvd
Bend, OR 97701
Phone (541) 322-2700
340 NW 5th St
Ste 101
Redmond, OR 97756
Phone (734) 545-3348
211 NW Larch Ave
Redmond, OR 97756
Phone (541) 548-2164
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Bend, OR
- NPI 1023331303
-
- Specialist
- Bend, OR
- NPI 1700697935
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Bend, OR
- NPI 1164675963
Hospital
-
- General Acute Care Hospital
- Bend, OR
- NPI 1982621447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587513600000",
"number": "1104144427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5579",
"city": "BEND",
"state": "OR",
"postal_code": "977085579",
"telephone_number": "541-706-5920",
"fax_number": "541-706-5925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 NW 5TH ST STE 101",
"city": "REDMOND",
"state": "OR",
"postal_code": "977561869",
"telephone_number": "541-526-6635",
"fax_number": "541-526-6636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACIFICO",
"first_name": "ROZA",
"middle_name": "SAITLIN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-11",
"last_updated": "2020-04-22",
"certification_date": "2020-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "201502926RN",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "OR",
"license": "201502927NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rpacifico17896@secure.stcharleshealthcare.org",
"affiliation": "N",
"address_1": "340 NW 5th St Ste 101",
"city": "Redmond",
"state": "OR",
"country_code": "US",
"postal_code": "977561869",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Redmond, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.