Individual provider Active NPI

Patricia Demaio, MSN

  • Nurse Practitioner
  • Medford, OR
National Provider Identifier
1295746295
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
201902536 Issued in OR
Practice address
1307 W Main St
Medford, OR 97501-2936
Phone
(541) 690-3555
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CNP101010 ME
Nurse Practitioner 363L00000X 26NJ00101300 NJ
Nurse Practitioner 363L00000X NP95013148 CA
Nurse Practitioner 363L00000X 201902536 OR Primary

Addresses

Primary practice location

1307 W Main St
Medford, OR 97501-2936

Mailing address

931 Chevy Way
Medford, OR 97504-4127
Phone (541) 690-3555

Other practice location 1

1012 Union St
Bangor, ME 04401
Phone (207) 945-5247

Other practice location 2

831 NW Council Dr Ste 125
Gresham, OR 97030-3794
Phone (503) 665-8176

Other identifiers 1

IdentifierTypeStateIssuer
435543099MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210326002261 CA Practitioner - Nurse Practitioner 2860448172 Reassigns benefits to 1 organization
I20220817001400 OR Practitioner - Nurse Practitioner 2860448172 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95013148CAMDNurse Practitioner
201902536ORMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Open Door Community Health Centers Current Accepting new patients
Open Door Community Health Centers Current Accepting new patients
Open Door Community Health Centers Current Accepting new patients
Open Door Community Health Centers CurrentSince Feb 13, 2021 Accepting new patients
Open Door Community Health Centers CurrentSince Feb 13, 2021 Accepting new patients
La Clinica del Valle Family Health Care Center Inc. CurrentSince Aug 29, 2022 Accepting new patients
Atlanticare Physician Group Past Accepting new patients
Atlanticare Physician Group, PA Past Accepting new patients

Locations

785 18th St
Arcata, CA 95521
Phone (707) 822-2481

770 10th St
Arcata, CA 95521
Phone (707) 826-8610

1275 8th St
Arcata, CA 95521

550 E Washington Blvd
Crescent City, CA 95531
Phone (707) 465-4636

2200 Tydd St
Eureka, CA 95501
Phone (707) 269-7051

1644 Central Ave
McKinleyville, CA 95519
Phone (707) 839-3068

931 Chevy Way
Medford, OR 97504
Phone (541) 690-3555

3617 S Pacific Hwy
Medford, OR 97501
Phone (541) 512-3182

1307 W Main St
Medford, OR 97501
Phone (541) 618-1314

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1295746295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 CHEVY WAY",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044127",
            "telephone_number": "541-690-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 W MAIN ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975012936",
            "telephone_number": "541-690-3555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1012 Union St",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "04401",
            "country_code": "US",
            "telephone_number": "207-945-5247",
            "fax_number": "207-990-1248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "831 NW Council Dr Ste 125",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970303794",
            "country_code": "US",
            "telephone_number": "503-665-8176",
            "fax_number": "503-665-8178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMAIO",
        "first_name": "PATRICIA",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "CNP101010",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00101300",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95013148",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "201902536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "435543099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.