Nicolette Alyse Cortez, DNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

202213227NP Issued in OR

Practice address

1609 E Barnett Rd
Medford, OR 97504-8284

Phone

(541) 450-9792

NPI assigned

Jan 29, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Providence Health & Services - Oregon

  • Clinic/Center
  • Medford, OR
  • NPI 1093976243

  OR

  Medicare reassignment
• Providence Health & Services Oregon

  • Family Medicine Physician
  • Medford, OR
  • NPI 1568547503

  OR

  Medicare reassignment
• Mountain Sleep Lab LLC

  • Clinical Medical Laboratory
  • Medford, OR
  • NPI 1912143736
  NPD (past)
• Bridges Community Homecare, LLC

  • Home Health Agency
  • Denver, CO
  • NPI 1144640848
  NPD (past)

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709424000000",
    "number": "1194356006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 E BARNETT RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048284",
            "telephone_number": "541-450-9792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 E BARNETT RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048284",
            "telephone_number": "541-450-9792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 Maple St",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "OR",
            "postal_code": "975201552",
            "country_code": "US",
            "telephone_number": "541-201-4273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORTEZ",
        "first_name": "NICOLETTE",
        "middle_name": "ALYSE",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2024-03-03",
        "certification_date": "2024-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "0995301",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OR",
            "license": "202213227",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "202213227NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocksana Paulina Corona
• Judy Lynn Corrie
• Pamela Reeger Cortell, FNP-PP
• Cheyenne Cortez, CRM
• Cristina Cortez
• Olivia Cortez, CPHT
• Brian Cosmann, M.D.
• Joshua M. Cott, MD
• Ann Marie Cottini, RN
• Tamara Cottongim

• All providers in Medford, OR
• Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.