NPIMap

Individual provider Active NPI

Annaleigh Boggess

  • Emergency Medicine Physician
  • Cottage Grove, OR
National Provider Identifier
1164855730
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD203337 Issued in OR
Practice address
1515 Village Dr
Cottage Grove, OR 97424-9700
Phone
(541) 767-5222
Fax
(541) 767-5230
NPI assigned
Aug 18, 2013
Last updated
Dec 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NM
Emergency Medicine Physician 207P00000X MD2019-0748 NM
Emergency Medicine Physician 207P00000X MD203337 OR Primary

Addresses

Primary practice location

1515 Village Dr
Cottage Grove, OR 97424-9700

Mailing address

PO Box 5920
Eugene, OR 97405-0911

Other practice location 1

Msc 11 6025 1 University Of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-5062

Other practice location 2

3377 Riverbend Dr
Springfield, OR 97477-8803
Phone (541) 222-6389

Other practice location 3

525 N Santiam Hwy
Lebanon, OR 97355-4363
Phone (541) 258-2101

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aboggess308705@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210726002935 OR Practitioner - Emergency Medicine 6800167594 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Oregon Health Sciences University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eugene Emergency Physicians PCGroup PAC ID 2264330448, 33 clinicians
Mary's Peak Emergency PhysiciansGroup PAC ID 4688565559, 9 clinicians

Practice addresses (Care Compare)

3333 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-7300

3600 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone (541) 768-5021

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD2019-0748NMMDEmergency Medicine Physician
MD203337ORMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany General Hospital Single Specialty Current Accepting new patients
Albany General Hospital CurrentSince Dec 16, 2024 Accepting new patients
Southern Coos Health District CurrentSince Mar 1, 2024 Accepting new patients
Southern Coos Health District Single Specialty CurrentSince Mar 1, 2024 Accepting new patients
Mid-Valley Healthcare Inc Single Specialty Current Accepting new patients
Mid-Valley Healthcare Inc Single Specialty CurrentSince Dec 16, 2024 Accepting new patients
Peacehealth Single Specialty CurrentSince Sep 6, 2021 Accepting new patients
Peacehealth Medical Group Cottage Grove Single Specialty Current Accepting new patients
Eugene Emergency Physicians PC Single Specialty CurrentSince Sep 6, 2021 Accepting new patients
Albany General Hospital CurrentSince Dec 16, 2024 Accepting new patients
Mid-Valley Healthcare, Inc. CurrentSince Dec 16, 2024 Accepting new patients
Peacehealth Single Specialty CurrentSince Sep 6, 2021 Accepting new patients
Peacehealth Single Specialty CurrentSince Jun 25, 2023 Accepting new patients
Peacehealth Single Specialty Past Accepting new patients

Locations

705 Elm St SW
Ste 200
Albany, OR 97321
Phone (541) 812-4850

900 11th St SE
Bandon, OR 97411
Phone (541) 237-2426

1515 Village Dr
Cottage Grove, OR 97424
Phone (541) 767-5200

1255 Hilyard St
Eugene, OR 97401
Phone (503) 686-7300

400 9th St
Florence, OR 97439
Phone (541) 997-8412

325 Park St
Lebanon, OR 97355
Phone (541) 451-7200

525 N Santiam Hwy
Lebanon, OR 97355
Phone (541) 258-2101

2801 NW Mercy Dr
Ste 350
Roseburg, OR 97471
Phone (541) 222-2700

3333 Riverbend Dr
Springfield, OR 97477
Phone (541) 222-3154

Interoperability endpoints

  • Direct secure messaging: aboggess308705@samhealth.direct-ci.com
  • Direct secure messaging: aboggess9752@direct.peacehealth.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1376784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1164855730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5920",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974050911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 VILLAGE DR",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974249700",
            "telephone_number": "541-767-5222",
            "fax_number": "541-767-5230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Msc 11 6025 1 University Of New Mexico",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871310001",
            "country_code": "US",
            "telephone_number": "505-272-5062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3377 Riverbend Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974778803",
            "country_code": "US",
            "telephone_number": "541-222-6389",
            "fax_number": "541-222-6385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 N Santiam Hwy",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OR",
            "postal_code": "973554363",
            "country_code": "US",
            "telephone_number": "541-258-2101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOGGESS",
        "first_name": "ANNALEIGH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-18",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "MD2019-0748",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD203337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aboggess308705@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "525 N Santiam Hwy",
            "city": "Lebanon",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973554363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cottage Grove, OR

Sources for this page

Verify at the official NPI Registry.