Active NPI
Denise Viss
- Family Nurse Practitioner
- Roseburg, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201508796
- Practice address
- 2700 NW Stewart Pkwy
Roseburg, OR 97471-1281 - Phone
- (541) 677-4333
- NPI assigned
- Nov 27, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 201508796 | OR | Primary |
Addresses
Primary practice location
2700 NW Stewart Pkwy
Roseburg, OR 97471-1281
Mailing address
2100 Powell St
Suite 900
Emeryville, CA 94608-1826
Phone (510) 350-2600
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151230002036 | OR | Practitioner - Nurse Practitioner | 8729380290 | Practice locations: Medford, OR |
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
Practice addresses (Care Compare)
411 Berrydale Ave
Unit 9
Medford, OR 97501-1946
Phone (503) 339-5926
Hospital & facility affiliations
- Riverside Home Health Care
- Signature Healthcare at Home
- Accentcare Home Health of Rogue Valley, LLC
- Asante Rogue Regional Medical Center
- Asante Three Rivers Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201508796 | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Well Spring Health LLC | Current | Accepting new patients |
Locations
12345 SW Horizon Blvd
Ste 57
Beaverton, OR 97007
Phone (503) 216-8820
1208 Beall Ln
Central Point, OR 97502
835 Crater Lake Ave
Medford, OR 97504
Phone (541) 507-4141
12442 SW Scholls Ferry Rd
Ste 100
Tigard, OR 97223
Phone (503) 215-9900
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.
-
- Family Medicine Physician
- Tigard, OR
- NPI 1396836276
-
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
- Psychiatry Physician
- Portland, OR
- NPI 1760177737
-
- Gerontology Nurse Practitioner
- Medford, OR
- NPI 1417581315
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Medford, OR
- NPI 1912228727
-
- General Acute Care Hospital
- Medford, OR
- NPI 1770587107
-
- General Acute Care Hospital
- Grants Pass, OR
- NPI 1801891809
-
- Home Health Agency
- Grants Pass, OR
- NPI 1841805223
-
- Home Health Agency
- Central Point, OR
- NPI 1003639733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448582400000",
"number": "1477927606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 POWELL ST",
"address_2": "SUITE 900",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946081826",
"telephone_number": "510-350-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 NW STEWART PKWY",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974711281",
"telephone_number": "541-677-4333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VISS",
"first_name": "DENISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-27",
"last_updated": "2015-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201508796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.