Individual provider Active NPI

Eric Fillmore, DNP FNP-C

  • Family Nurse Practitioner
  • Salem, OR
National Provider Identifier
1235510058
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201900972NP Issued in OR
Practice address
1900 Hines St SE Ste 190
Salem, OR 97302-1356
Phone
(971) 208-9249
Fax
(971) 342-3008
NPI assigned
Jun 17, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201900972NP OR Primary
Family Nurse Practitioner 363LF0000X AP7996 AZ

Addresses

Primary practice location

1900 Hines St SE Ste 190
Salem, OR 97302-1356

Mailing address

1900 Hines St SE Ste 190
Salem, OR 97302-1356
Phone (971) 208-9249

Other practice location 1

560 Wallace Rd NW Ste 140
Salem, OR 97304-3858
Phone (971) 273-2023

Other identifiers 1

IdentifierTypeStateIssuer
041349MedicaidAZ

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
I20190726000466 OR Practitioner - Nurse Practitioner 5698081651 Reassigns benefits to 2 organizations
Practice locations: Salem, OR

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1900 Hines St SE
Suite 190
Salem, OR 97302-1356
Phone (801) 824-1541

2995 Ryan Dr SE
Suite 200
Salem, OR 97301-5157

444 NW Elks Dr
Corvallis, OR 97330-3745

600 Jefferson St
Suite 600
Lafayette, LA 70501-6982

Hospital & facility affiliations

  • Salem Hospital Hospital, Salem, OR, CCN 380051

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201900972NPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Onward Health & Wellness LLC Family CurrentSince Apr 1, 2026 Accepting new patients
Swiftcare LLC CurrentSince Apr 7, 2026 Accepting new patients
Icco LLC CurrentSince Aug 23, 2021 Accepting new patients
Icco, LLC CurrentSince Aug 23, 2021 Accepting new patients

Locations

186 W Ellendale Ave
Dallas, OR 97338
Phone (971) 900-4984

598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473

1800 Coburg Rd
Eugene, OR 97401
Phone (541) 342-1632

560 Wallace Rd NW
Ste 140
Salem, OR 97304
Phone (888) 524-8219

1900 Hines St SE
Ste 190
Salem, OR 97302
Phone (801) 824-1541

Interoperability endpoints

  • Direct secure messaging: eric.fillmore.1@33573.direct.athenahealth.com
  • Direct secure messaging: eric.fillmore.1@15938.direct.athenahealth.com

Organizations & group practices 4

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": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1235510058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 HINES ST SE STE 190",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021356",
            "telephone_number": "971-208-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 HINES ST SE STE 190",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021356",
            "telephone_number": "971-208-9249",
            "fax_number": "971-342-3008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 Wallace Rd NW Ste 140",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973043858",
            "country_code": "US",
            "telephone_number": "971-273-2023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FILLMORE",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "DNP FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-17",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201900972NP",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7996",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041349",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.