Individual provider Active NPI

Andrew J Hughes, FNP

  • Nurse Practitioner
  • Chiloquin, OR
National Provider Identifier
1275533945
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
200050057 NP FNP-PP Issued in OR
Practice address
330 Chiloquin Blvd
Chiloquin, OR 97624-6773
Phone
(800) 246-7894
Fax
(541) 783-2028
NPI assigned
Jul 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 200050057 NP FNP-PP OR Primary

Addresses

Primary practice location

330 Chiloquin Blvd
Chiloquin, OR 97624-6773

Mailing address

3949 S 6TH St
Klamath Falls, OR 97603-4746
Phone (800) 552-6290

Other identifiers 1

IdentifierTypeStateIssuer
129861MedicaidOR

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
I20040430000875 OR Practitioner - Nurse Practitioner 5294722179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icco LLCGroup PAC ID 1355406729, 133 clinicians

Practice addresses (Care Compare)

1800 Coburg Rd
Eugene, OR 97401-4995
Phone (541) 345-8760

Hospital & facility affiliations

  • Sky Lakes Medical Center Hospital, Klamath Falls, OR, CCN 380050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200050057 NP FNP-PPORMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Icco LLC CurrentSince Jan 1, 2018 Accepting new patients
Icco, LLC Current Accepting new patients
Icco, LLC CurrentSince Jan 1, 2018 Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Columbia Lutheran Charities Past Accepting new patients

Locations

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

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

4040 W 11th Ave
Ste B
Eugene, OR 97402
Phone (458) 215-2311

2710 Willamette St
Eugene, OR 97405
Phone (541) 735-3161

3737 Shasta Way
Ste A
Klamath Falls, OR 97603
Phone (541) 883-2337

1740 NW Goetz St
Roseburg, OR 97471
Phone (541) 672-4789

5781 Main St
Springfield, OR 97478
Phone (541) 284-1694

Organizations & group practices 5

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 2

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": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1275533945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3949 S 6TH ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976034746",
            "telephone_number": "800-552-6290",
            "fax_number": "541-880-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 CHILOQUIN BLVD",
            "city": "CHILOQUIN",
            "state": "OR",
            "postal_code": "976246773",
            "telephone_number": "800-246-7894",
            "fax_number": "541-783-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "ANDREW",
        "middle_name": "J",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "200050057 NP  FNP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129861",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chiloquin, OR

Sources for this page

Verify at the official NPI Registry.