Individual provider Active NPI

Alicia L Duyvejonck, DNP

  • Nurse Practitioner
  • Springfield, OR
National Provider Identifier
1366858334
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10031008 Issued in OR
Practice address
1 Hayden Bridge Way
Springfield, OR 97477-1347
Phone
(541) 868-9430
Fax
(541) 868-9450
NPI assigned
Jul 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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 10031008 OR Primary

Addresses

Primary practice location

1 Hayden Bridge Way
Springfield, OR 97477-1347

Mailing address

1 Hayden Bridge Way
Springfield, OR 97477-1347
Phone (541) 868-9430

Other names 1

  • Alicia L Shreffler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, 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
I20140917000206 IA Practitioner - Nurse Practitioner 4981823341 Reassigns benefits to 1 organization
I20250102000022 OR Practitioner - Nurse Practitioner 4981823341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neurology Associates Eugene-Springfield PCGroup PAC ID 0446246888, 9 clinicians
Quad City Physical Therapy and SpineGroup PAC ID 1850332651, 29 clinicians

Practice addresses (Care Compare)

1 Hayden Bridge Way
Springfield, OR 97477-1347
Phone (541) 868-9430

5254 Utica Ridge Rd
Davenport, IA 52807-3872
Phone (563) 359-3799

Hospital & facility affiliations

  • Sacred Heart Medical Center - Riverbend Hospital, Springfield, OR, CCN 380102
  • Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033
  • Mercy Medical Center Hospital, Roseburg, OR, CCN 380027

Merit-based Incentive Payment System (MIPS)

Final score
34.85 of 100Reported as group
Quality
21.4
Improvement activities
0
Cost
76.92

Merit-based Incentive Payment System (MIPS)

Final score
29.09 of 100Reported as group
Quality
18.83
Promoting interoperability
0
Improvement activities
0
Cost
78.14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health System CurrentSince Oct 1, 2019 Accepting new patients
Neurology Associates Eugene-Springfield PC CurrentSince Feb 17, 2025 Accepting new patients
Genesis Health System CurrentSince Oct 1, 2019 Accepting new patients

Locations

865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000

1230 E Rusholme St
Ste 207
Davenport, IA 52803
Phone (563) 355-7770

1351 W Central Park Ave
Ste 3300
Davenport, IA 52804
Phone (563) 383-2667

4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667

1 Hayden Bridge Way
Springfield, OR 97477
Phone (541) 686-2837

Interoperability endpoints

  • Direct secure messaging: alicia.duyvejonck@direct.genesishealth.com

Organizations & group practices 4

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 4

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": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1366858334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HAYDEN BRIDGE WAY",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771347",
            "telephone_number": "541-868-9430",
            "fax_number": "541-868-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HAYDEN BRIDGE WAY",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771347",
            "telephone_number": "541-868-9430",
            "fax_number": "541-868-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUYVEJONCK",
        "first_name": "ALICIA",
        "middle_name": "L",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-10",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "10031008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "SHREFFLER",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, OR

Sources for this page

Verify at the official NPI Registry.