NPIMap

Individual provider Active NPI

Julia Rose Koos, NP

  • Family Nurse Practitioner
  • Lebanon, OR
National Provider Identifier
1174227078
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10004813 Issued in OR
Practice address
35 Mullins Dr Ste 2
Lebanon, OR 97355-3985
Phone
(541) 451-7915
NPI assigned
Mar 27, 2023
Last updated
Jan 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10004813 OR Primary

Addresses

Primary practice location

35 Mullins Dr Ste 2
Lebanon, OR 97355-3985

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other practice location 1

41805 Stayton Scio Rd SE
Stayton, OR 97383-9739
Phone (503) 507-5356

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jkoos340729@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
I20230605000404 OR Practitioner - Nurse Practitioner 3678930815 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mid-Valley Healthcare IncGroup PAC ID 2769391523, 143 clinicians
Santiam Mobile Medicine LLCGroup PAC ID 1456614361, 6 clinicians

Practice addresses (Care Compare)

400 N Santiam Hwy
Lebanon, OR 97355
Phone (541) 451-6388

41805 Stayton Scio Rd SE
Stayton, OR 97383-9739
Phone (503) 507-5356

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Valley Healthcare, Inc. CurrentSince Jan 12, 2026 Accepting new patients
Samaritan Pacific Health Services, Inc CurrentSince Jan 12, 2026 Accepting new patients
Samaritan Pacific Health Services, Inc. CurrentSince Jan 12, 2026 Accepting new patients
Albany General Hospital CurrentSince Jan 12, 2026 Accepting new patients
Mid-Valley Healthcare, Inc. CurrentSince Jan 12, 2026 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Jan 12, 2026 Accepting new patients
Mid-Valley Healthcare Inc CurrentSince Jan 12, 2026 Accepting new patients
Santiam Mobile Medicine LLC CurrentSince Apr 14, 2025 Accepting new patients
Albany General Hospital CurrentSince Jan 12, 2026 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Jan 12, 2026 Accepting new patients
Samaritan Pacific Health Services, Inc. CurrentSince Jan 12, 2026 Accepting new patients

Locations

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

3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261

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

35 Mullins Dr
Ste 2
Lebanon, OR 97355
Phone (541) 451-7915

930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244

1881 W Washington St
Stayton, OR 97383
Phone (503) 400-6140

41805 Stayton Scio Rd SE
Stayton, OR 97383
Phone (503) 507-5356

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19033/brand/1/csg/1/fhir/r4
  • Direct secure messaging: julia.koos.1@19033.direct.athenahealth.com

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1174227078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MULLINS DR STE 2",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973553985",
            "telephone_number": "541-451-7915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41805 Stayton Scio Rd SE",
            "address_purpose": "LOCATION",
            "city": "Stayton",
            "state": "OR",
            "postal_code": "973839739",
            "country_code": "US",
            "telephone_number": "503-507-5356",
            "fax_number": "866-225-2708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOOS",
        "first_name": "JULIA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10004813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkoos340729@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "35 Mullins Dr Ste 2",
            "city": "Lebanon",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973553985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lebanon, OR

Sources for this page

Verify at the official NPI Registry.