Individual provider Active NPI

Nicole Parrotta, APRN

  • Family Nurse Practitioner
  • Grants Pass, OR
National Provider Identifier
1407231590
Registry record updated Feb 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10017616 Issued in OR
Practice address
520 SW Ramsey Ave Ste 201
Grants Pass, OR 97527-5535
Phone
(541) 789-5790
NPI assigned
Jul 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F339376-1 NY
Family Nurse Practitioner 363LF0000X 101.0134159 VT
Family Nurse Practitioner 363LF0000X 24839 SC
Family Nurse Practitioner 363LF0000X 10017616 OR Primary

Addresses

Primary practice location

520 SW Ramsey Ave Ste 201
Grants Pass, OR 97527-5535

Mailing address

PO Box 1681
Murrells Inlet, SC 29576-1681

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
I20240102001400 OR Practitioner - Nurse Practitioner 1850635145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
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)

2900 State St
Suite 101
Medford, OR 97504-8475
Phone (541) 789-5790

625 SW Ramsey Ave
Suite a
Grants Pass, OR 97527-5808
Phone (541) 507-2290

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F339376-1NYMDFamily Nurse Practitioner
10017616ORMDFamily Nurse Practitioner
24839SCMDFamily Nurse Practitioner
101.0134159VTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hematology Oncology Associates, P.C. CurrentSince Feb 4, 2024 Accepting new patients
Asante Physician Partners CurrentSince Dec 19, 2023 Accepting new patients

Locations

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

520 SW Ramsey Ave
Ste 201
Grants Pass, OR 97527
Phone (541) 774-5853

2900 State St
Ste 101
Medford, OR 97504
Phone (541) 789-5790

2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770

Interoperability endpoints

  • Direct secure messaging: nparrotta32290@directmcleodehealth.org

Organizations & group practices 2

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 5

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": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706918400000",
    "number": "1407231590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1681",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295761681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SW RAMSEY AVE STE 201",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275535",
            "telephone_number": "541-789-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARROTTA",
        "first_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-30",
        "last_updated": "2024-02-03",
        "certification_date": "2024-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F339376-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0134159",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "24839",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10017616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

Verify at the official NPI Registry.