Individual provider Active NPI

Angela O Loveless, ARNP

  • Family Nurse Practitioner
  • Eugene, OR
National Provider Identifier
1508099433
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201703001NP-PP Issued in OR
Practice address
10 Coburg Rd Ste 100
Eugene, OR 97401-7479
Phone
(541) 868-9700
Fax
(541) 868-9844
NPI assigned
Aug 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9296527 FL
Family Nurse Practitioner 363LF0000X CNP111083 ME
Family Nurse Practitioner 363LF0000X 201703001NP-PP OR Primary

Addresses

Primary practice location

10 Coburg Rd Ste 100
Eugene, OR 97401-7479

Mailing address

PO Box 70368
Springfield, OR 97475-0120
Phone (541) 485-2777

Other practice location 1

1488 Oak St
Eugene, OR 97401-4043
Phone (541) 431-0000

Other practice location 2

1200 Hilyard St Ste 110
Eugene, OR 97401-8112
Phone (458) 205-6011

Other identifiers 1

IdentifierTypeStateIssuer
001385400MedicaidFL

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
I20170526000942 OR Practitioner - Nurse Practitioner 8628116043 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icco LLCGroup PAC ID 1355406729, 133 clinicians

Practice addresses (Care Compare)

4040 W 11TH Ave
Suite B
Eugene, OR 97402-5601
Phone (541) 500-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9296527FLMDFamily Nurse Practitioner
CNP111083MEMDFamily Nurse Practitioner
201703001NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Womens Center LLC CurrentSince Jun 1, 2024 Accepting new patients
Peacehealth Medical Group Cottage Grove CurrentSince Nov 1, 2018 Accepting new patients
Womens Care, PC CurrentSince Jun 1, 2024 Accepting new patients
Peacehealth Current Accepting new patients

Locations

1515 Village Dr
Cottage Grove, OR 97424
Phone (541) 767-5200

10 Coburg Rd
Ste 100
Eugene, OR 97401
Phone (541) 342-8616

590 Country Club Pkwy
Ste A
Eugene, OR 97401
Phone (541) 683-1559

1200 Hilyard St
Ste S110
Eugene, OR 97401
Phone (458) 205-6011

1200 Hilyard St
Eugene, OR 97401
Phone (458) 205-7070

4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300

860 Beltline Rd
Springfield, OR 97477
Phone (541) 222-6005

1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253

Interoperability endpoints

  • Direct secure messaging: aloveless336502@direct.peacehealth.org

Organizations & group practices 6

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": "1251244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1508099433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70368",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974750120",
            "telephone_number": "541-485-2777",
            "fax_number": "541-246-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 COBURG RD STE 100",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017479",
            "telephone_number": "541-868-9700",
            "fax_number": "541-868-9844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1488 Oak St",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974014043",
            "country_code": "US",
            "telephone_number": "541-431-0000",
            "fax_number": "541-344-6176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Hilyard St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974018112",
            "country_code": "US",
            "telephone_number": "458-205-6011",
            "fax_number": "541-302-4733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOVELESS",
        "first_name": "ANGELA",
        "middle_name": "O",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-26",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9296527",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP111083",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201703001NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001385400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.