NPIMap

Individual provider Active NPI

Consuelo Bartyzal, FNP

  • Family Nurse Practitioner
  • Medford, OR
National Provider Identifier
1336781863
Registry record updated Oct 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201911334NP-PP Issued in OR
Practice address
814 E Jackson St Ste a
Medford, OR 97504-6011
Phone
(541) 646-7130
Fax
(541) 327-6160
NPI assigned
Oct 16, 2019
Last updated
Oct 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 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 201911334NP-PP OR Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

814 E Jackson St Ste a
Medford, OR 97504-6011

Mailing address

814 E Jackson St Ste a
Medford, OR 97504-6011
Phone (541) 646-7130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200327001801 OR Practitioner - Nurse Practitioner 0345679247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Asante Physician PartnersGroup PAC ID 8325206246, 227 clinicians

Practice addresses (Care Compare)

691 Murphy Rd
Suite 107
Medford, OR 97504-4311
Phone (541) 789-6460

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Asante Physician Partners CurrentSince Feb 20, 2020 Accepting new patients
Good Health Direct Primary Care LLC PastSince Oct 20, 2019 Accepting new patients
Good Health Direct Primary Care LLC Family PastSince Oct 20, 2019 Accepting new patients

Locations

625 SW Ramsey Ave
Ste A
Grants Pass, OR 97527
Phone (541) 474-5004

2825 E Barnett Rd
Ofc
Medford, OR 97504

691 Murphy Rd
Ste 107
Medford, OR 97504
Phone (541) 789-5121

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790985600000",
    "number": "1336781863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 E JACKSON ST STE A",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046011",
            "telephone_number": "541-646-7130",
            "fax_number": "541-327-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 E JACKSON ST STE A",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046011",
            "telephone_number": "541-646-7130",
            "fax_number": "541-327-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTYZAL",
        "first_name": "CONSUELO",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2026-10-03",
        "certification_date": "2026-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201911334NP-PP",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.