Individual provider Active NPI

Norma J Soffa, FNP

  • Family Nurse Practitioner
  • Corvallis, OR
National Provider Identifier
1407103286
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201403003NP-PP Issued in OR
Practice address
2001 NW Monroe Ave Ste 104
Corvallis, OR 97330-5567
Phone
(541) 754-1369
NPI assigned
Aug 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 201400528RN OR
Nurse Practitioner 363L00000X APN001411 NV
Adult Health Nurse Practitioner 363LA2200X 201400533NP-PP OR
Family Nurse Practitioner 363LF0000X 201403003NP-PP OR Primary

Addresses

Primary practice location

2001 NW Monroe Ave Ste 104
Corvallis, OR 97330-5567

Mailing address

444 NW Elks Dr
Corvallis, OR 97330-3745
Phone (541) 754-1150

Other identifiers 2

IdentifierTypeStateIssuer
PO1185048OtherNVRAILROAD MEDICARE
1407103286MedicaidNV

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
I20140710001781 OR Practitioner - Nurse Practitioner 7810146883 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santiam Memorial HospitalGroup PAC ID 6103729751, 128 clinicians

Practice addresses (Care Compare)

1401 N 10TH Ave
Stayton, OR 97383-1311
Phone (503) 769-2175

Hospital & facility affiliations

  • Santiam Hospital & Clinics Hospital, Stayton, OR, CCN 380056
  • Salem Hospital Hospital, Salem, OR, CCN 380051

Merit-based Incentive Payment System (MIPS)

Final score
88.56 of 100Reported as group
Quality
71.73
Improvement activities
40
Cost
80.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201400528RNORMDRegistered Nurse
201400533NP-PPORMDAdult Health Nurse Practitioner
201403003NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Icco LLC CurrentSince Mar 8, 2021 Accepting new patients
Icco, LLC Current Accepting new patients
Santiam Memorial Hospital Current Accepting new patients
Santiam Memorial Hospital CurrentSince Jul 8, 2024 Accepting new patients
Western Healthcare Services Texas CurrentSince Jul 1, 2022 Accepting new patients
Icco, LLC CurrentSince Mar 8, 2021 Accepting new patients
Santiam Memorial Hospital CurrentSince Jul 8, 2024 Accepting new patients
Linda L. Johnson MD, LTD Past Accepting new patients
United Wound Healing Accountable Care Consultants PLLC Adult Health Past Accepting new patients

Locations

598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473

1800 Coburg Rd
Eugene, OR 97401
Phone (541) 342-1632

94220 4th St
Gold Beach, OR 97444
Phone (541) 247-3000

1375 N 10th Ave
Ste B
Stayton, OR 97383
Phone (503) 769-7546

1401 N 10th Ave
Stayton, OR 97383
Phone (503) 769-2175

Interoperability endpoints

  • Direct secure messaging: nsoffa201583@secure.stcharleshealthcare.org
  • Direct secure messaging: norma.soffa.1@15938.direct.athenahealth.com

Organizations & group practices 10

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 3

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": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401667200000",
    "number": "1407103286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 NW ELKS DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303745",
            "telephone_number": "541-754-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 NW MONROE AVE STE 104",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973305567",
            "telephone_number": "541-754-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOFFA",
        "first_name": "NORMA",
        "middle_name": "J",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-10",
        "last_updated": "2014-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201400528RN",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APN001411",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "201400533NP-PP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201403003NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "PO1185048",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407103286",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.