Individual provider Active NPI

Irma Mendoza-Montoya, NP

  • Family Nurse Practitioner
  • Salem, OR
National Provider Identifier
1609292614
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201900272 Issued in OR
Practice address
875 Oak St SE Ste 4030
Salem, OR 97301-3984
Phone
(503) 561-6444
Fax
(503) 561-6440
NPI assigned
Mar 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201900272 OR Primary
Registered Nurse 163W00000X RN107615 AZ

Addresses

Primary practice location

875 Oak St SE Ste 4030
Salem, OR 97301-3984

Mailing address

875 Oak St SE Ste 4030
Salem, OR 97301-3984
Phone (503) 561-6444

Other practice location 1

675 N 5th St Ste 200
Lebanon, OR 97355-2875
Phone (541) 451-6282

Other practice location 2

1050 W Elm Ave Ste 110
Hermiston, OR 97838-2713
Phone (520) 303-5814

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address imendozamontoya250285@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, TX2 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

Enrollment IDStateProvider typePAC IDDetails
I20190522000648 OR Practitioner - Nurse Practitioner 8729321369 Reassigns benefits to 5 organizations
I20241028000006 TX Practitioner - Nurse Practitioner 8729321369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

875 Oak St SE
Suite 4030
Salem, OR 97301-3984

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN107615AZMDRegistered Nurse
201900272ORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wind River Family & Community Healthc Care CurrentSince Sep 23, 2024 Accepting new patients
Willamette Family Medical Center Inc CurrentSince Apr 28, 2025 Accepting new patients
Oregon Oncology Specialists, LLP CurrentSince Sep 1, 2025 Accepting new patients
Good Shepherd Health Care System CurrentSince Mar 4, 2019 Accepting new patients
Oregon Oncology Specialists, LLP CurrentSince Sep 1, 2025 Accepting new patients
Mid-Valley Healthcare Inc Current Accepting new patients
Good Shepherd Health Care System CurrentSince Mar 4, 2019 Accepting new patients
Columbia Lutheran Charities Current Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Mid-Valley Healthcare, Inc. PastSince Oct 23, 2022 Accepting new patients
Columbia Lutheran Charities Past Accepting new patients

Locations

2265 Exchange St
Astoria, OR 97103
Phone (503) 338-4075

2111 Exchange St
Astoria, OR 97103
Phone (503) 325-4321

620 NW 11th St
Ste M201
Hermiston, OR 97838

600 NW 11th St
Ste E37
Hermiston, OR 97838
Phone (541) 567-5305

1050 W Elm Ave
Ste 110
Hermiston, OR 97838
Phone (541) 564-6411

610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400

675 N 5th St
Ste 200
Lebanon, OR 97355
Phone (541) 451-6282

325 Park St
Lebanon, OR 97355
Phone (541) 451-7200

875 Oak St SE
Ste 4030
Salem, OR 97301

435 Lancaster Dr NE
Salem, OR 97301
Phone (503) 585-6388

1639 SE Ensign Ln
Ste B103
Warrenton, OR 97146
Phone (503) 338-4500

14 Great Plains Rd
Arapahoe, WY 82510

Interoperability endpoints

  • Direct secure messaging: irma.mendozamontoya.p1@direct.wfamilymed.nextgenshare.com

Organizations & group practices 12

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 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": "1394755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1609292614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 OAK ST SE STE 4030",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013984",
            "telephone_number": "503-561-6444",
            "fax_number": "503-561-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 OAK ST SE STE 4030",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013984",
            "telephone_number": "503-561-6444",
            "fax_number": "503-561-6440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 N 5th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OR",
            "postal_code": "973552875",
            "country_code": "US",
            "telephone_number": "541-451-6282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 W Elm Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Hermiston",
            "state": "OR",
            "postal_code": "978382713",
            "country_code": "US",
            "telephone_number": "520-303-5814",
            "fax_number": "541-567-7720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA-MONTOYA",
        "first_name": "IRMA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-14",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201900272",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN107615",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "imendozamontoya250285@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "675 N 5th St Ste 200",
            "city": "Lebanon",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973552875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.