Individual provider Active NPI

Caroline Elizabeth Patten, F.N.P.

  • Nurse Practitioner
  • Medford, OR
National Provider Identifier
1528818978
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10024625 Issued in OR
Practice address
825 Bennett Ave
Medford, OR 97504-6715
Phone
(541) 779-5228
Fax
(541) 772-1533
NPI assigned
Mar 26, 2024
Last updated
Apr 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 10024625 OR Primary
Registered Nurse 163W00000X 202008879RN OR

Addresses

Primary practice location

825 Bennett Ave
Medford, OR 97504-6715

Mailing address

825 Bennett Ave
Medford, OR 97504-6715
Phone (541) 779-5228

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
I20240423003006 OR Practitioner - Nurse Practitioner 5799124723 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monarque Health and Wellness LLCGroup PAC ID 3678832151, 2 clinicians

Practice addresses (Care Compare)

148 E Hersey St
Ashland, OR 97520-1359
Phone (541) 326-4777

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10024625ORMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monarque Health and Wellness LLC CurrentSince Nov 5, 2024 Accepting new patients
Pain Care of Oregon, LLC CurrentSince Apr 8, 2024 Accepting new patients

Locations

148 E Hersey St
Ashland, OR 97520
Phone (541) 326-4777

825 Bennett Ave
Medford, OR 97504
Phone (541) 779-5228

Interoperability endpoints

  • Direct secure messaging: caroline.patten.1@15895.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15895/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1711411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1528818978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 BENNETT AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046715",
            "telephone_number": "541-779-5228",
            "fax_number": "541-772-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 BENNETT AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046715",
            "telephone_number": "541-779-5228",
            "fax_number": "541-772-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTEN",
        "first_name": "CAROLINE",
        "middle_name": "ELIZABETH",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "10024625",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "202008879RN",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.