Individual provider Active NPI

Sheng Xu, DNP

  • Family Nurse Practitioner
  • Klamath Falls, OR
National Provider Identifier
1609582287
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10007749 Issued in OR
Practice address
2340 S 6TH St
Klamath Falls, OR 97601-4340
Phone
(541) 851-2108
NPI assigned
Jan 26, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 10007749 OR
Family Nurse Practitioner 363LF0000X 10007749 OR Primary
Family Nurse Practitioner 363LF0000X 1099834 TX
Registered Nurse 163W00000X 805921 TX

Addresses

Primary practice location

2340 S 6TH St
Klamath Falls, OR 97601-4340

Mailing address

3265 Hillcrest Park Dr
Medford, OR 97504-7657
Phone (541) 210-8721

Other identifiers 1

IdentifierTypeStateIssuer
500822194MedicaidOR

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
I20230630001527 OR Practitioner - Nurse Practitioner 8628437126 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nisha Jackson IncGroup PAC ID 6305147745, 47 clinicians
Sky Lakes Medical Center IncGroup PAC ID 1052204096, 196 clinicians

Practice addresses (Care Compare)

2340 S 6TH St
Klamath Falls, OR 97601-4340
Phone (541) 851-2107

2821 Daggett Ave
Suite 200
Klamath Falls, OR 97601-1130
Phone (541) 274-8400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10007749ORMDRegistered Nurse
805921TXMDRegistered Nurse
1099834TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Daiya Healthcare PLLC CurrentSince May 21, 2023 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Jul 9, 2024 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Jul 9, 2024 Accepting new patients

Locations

2821 Daggett Ave
Ste 200
Klamath Falls, OR 97601
Phone (541) 274-8400

2865 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 833-6221

75 Shore Dr
Saint Helens, OR 97051
Phone (503) 397-2713

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.

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": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1609582287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3265 HILLCREST PARK DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047657",
            "telephone_number": "541-210-8721",
            "fax_number": "541-210-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 S 6TH ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976014340",
            "telephone_number": "541-851-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XU",
        "first_name": "SHENG",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-26",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "10007749",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10007749",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1099834",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "805921",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500822194",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

Verify at the official NPI Registry.