Elaine M. Oleksick

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

201600676NP-PP Issued in OR

Practice address

1515 Village Dr
Cottage Grove, OR 97424-9700

Phone

(541) 767-5200

Fax

(541) 767-5399

NPI assigned

Jun 15, 2006

Last updated

Jun 11, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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 TN, 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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: emoleksi@yourcarecommunity.org
• Direct secure messaging: eoleksick443395@direct.peacehealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Good Shepherd Health Care System

  dba Good Shepherd Medical Center

  • Critical Access Hospital
  • Hermiston, OR
  • NPI 1295789667
  Medicare reassignment NPD
• Northwest Medical Foundation of Tillamook

  dba Adventist Health Tillamook

  • Critical Access Hospital
  • Tillamook, OR
  • NPI 1871575225
  Medicare reassignment NPD
• App of Tennessee Ed, PLLC

  • Emergency Medicine Physician
  • Maryville, TN
  • NPI 1003230236

  Nurse Practitioner

  Medicare reassignment NPD
• T M Carr MD PC

  • Emergency Medicine Physician
  • Dyersburg, TN
  • NPI 1992706097

  Nurse Practitioner

  Medicare reassignment NPD
• Good Shepherd Health Care System

  dba Good Shepherd Medical Group

  • Pediatrics Physician
  • Hermiston, OR
  • NPI 1336198159
  NPD
• Northwest Medical Foundation of Tillamook

  dba Adventist Health Medical Office - Sheridan

  • Critical Access Hospital
  • Sheridan, OR
  • NPI 1053873919
  NPD
• Northwest Medical Foundation of Tillamook

  dba Adventist Health/Tillamook Medical Group

  • Rural Health Clinic/Center
  • Tillamook, OR
  • NPI 1841451853
  NPD
• Camino Real Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Livingston, TX
  • NPI 1992871966

  Nurse Practitioner

  NPD (past)
• Tennessee Em-I Medical Services PC

  • Physician Assistant
  • Lebanon, TN
  • NPI 1164742300

  Nurse Practitioner

  NPD (past)
• Texas Emergency Room Services PA

  • Emergency Medicine Physician
  • Lufkin, TX
  • NPI 1992843387
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1417991266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 SE 164TH AVE DEPT 358",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838004",
            "telephone_number": "360-729-1253",
            "fax_number": "360-729-3185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 VILLAGE DR",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974249700",
            "telephone_number": "541-767-5200",
            "fax_number": "541-767-5399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4910 Main St",
            "address_purpose": "LOCATION",
            "city": "Spring Hill",
            "state": "TN",
            "postal_code": "371742732",
            "country_code": "US",
            "telephone_number": "615-302-5008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLEKSICK",
        "first_name": "ELAINE",
        "middle_name": "M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "201600676NP-PP",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "12953",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Norris
• Oak Tree Counseling LLC
• Elisha Odell
• Autumn Joy Ogle, PSS, CRM, CADC-R
• Megan Olds
• Jessica Marie Ostrander, RDH EPP
• Samantha Oswald
• Cheryl Paberzs, B.S.
• Osberto Moises Pablo Mendoza, PSS
• Julie Parke

• Nurse Practitioner in Cottage Grove, OR
• Providers in Cottage Grove, OR by specialty
• Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.