Priscilla Myco

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP010955 Issued in PA

Practice address

106 E 16TH Ave
Eugene, OR 97401-4033

Phone

(971) 266-0421

NPI assigned

Nov 21, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pmyco062@yourcarecommunity.org

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.

• Healogics Specialty Physicians of Oregon, LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Salem, OR
  • NPI 1841664752

  Nurse Practitioner

  Medicare reassignment NPD
• Pacific Northwest Wellness LLC

  • Massage Therapist
  • Eugene, OR
  • NPI 1437715216
  NPD Authorized official

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

{
    "created_epoch": "1290297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1346542503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E 16TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014033",
            "telephone_number": "971-266-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E 16TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014033",
            "telephone_number": "971-266-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYCO",
        "first_name": "PRISCILLA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-21",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "24632",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP010955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Matthew Musick
• Steven E Mussack I, PH.D.
• Keneth Mutuma Muthaura, CADC -R
• My Hearing Centers, LLC
• My School'S Health Centers
• Adam Myers
• Alicia Jane Myers
• Caitlin Christina Myers, APRN, FNP-C
• Kara D Myers, LCSW
• Kelsey Mae Myers

• Nurse Practitioner in Eugene, OR
• Providers in Eugene, OR by specialty
• Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.

Verify at the official NPI Registry.