Individual provider Active NPI

Roylynn Underwood, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Medford, OR
National Provider Identifier
1396580452
Registry record updated Nov 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10032035 Issued in OR
Practice address
824 E Jackson St Ste a
Medford, OR 97504-6745
Phone
(458) 488-1000
Fax
(458) 488-1001
NPI assigned
Jun 28, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10032035 OR Primary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 200440705RN OR

Addresses

Primary practice location

824 E Jackson St Ste a
Medford, OR 97504-6745

Mailing address

7737 Old Stage Rd
Central Point, OR 97502-9717
Phone (503) 819-1064

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240925003026 OR Practitioner - Nurse Practitioner 5698216075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

824 E Jackson St
Suite a
Medford, OR 97504-6745
Phone (458) 488-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10032035ORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Roylynn Underwood, Pmhnp, LLC Psychiatric/Mental Health CurrentSince Sep 5, 2024 Accepting new patients

Locations

824 E Jackson St
Ste A
Medford, OR 97504
Phone (458) 225-9225

1744 E McAndrews Rd
Ste B
Medford, OR 97504
Phone (541) 654-1776

Organizations & group practices 1

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": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763856000000",
    "number": "1396580452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7737 OLD STAGE RD",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975029717",
            "telephone_number": "503-819-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 E JACKSON ST STE A",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046745",
            "telephone_number": "458-488-1000",
            "fax_number": "458-488-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "ROYLYNN",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-28",
        "last_updated": "2025-11-23",
        "certification_date": "2025-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10032035",
            "primary": true
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "OR",
            "license": "200440705RN",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.