Active NPI
Patricia Demaio, MSN
- Nurse Practitioner
- Medford, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 201902536
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 435543099 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95013148 | CA | MD | Nurse Practitioner |
| 201902536 | OR | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | 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 | Current | Accepting new patients | |
| Open Door Community Health Centers | Current | Accepting new patients | |
| Open Door Community Health Centers | Current | Accepting new patients | |
| La Clinica del Valle Family Health Care Center Inc. | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Medford, OR
- NPI 1851327571
-
- Federally Qualified Health Center (FQHC)
- Crescent City, CA
- NPI 1497840656
-
- Federally Qualified Health Center (FQHC)
- Arcata, CA
- NPI 1255435533
-
- Federally Qualified Health Center (FQHC)
- McKinleyville, CA
- NPI 1598858169
-
- Federally Qualified Health Center (FQHC)
- Willow Creek, CA
- NPI 1730330739
-
- Federally Qualified Health Center (FQHC)
- Eureka, CA
- NPI 1831713452
-
- Primary Care Clinic/Center
- Ventnor City, NJ
- NPI 1194839910
-
- Urgent Care Clinic/Center
- Galloway, NJ
- NPI 1003820622
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.