Individual provider Active NPI

Joy Audrey Gummow, FNP-C

  • Family Nurse Practitioner
  • Salem, OR
National Provider Identifier
1619709441
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10030186 Issued in OR
Practice address
1049 Edgewater St NW
Salem, OR 97304-4046
Phone
(503) 814-3343
NPI assigned
Aug 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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 10030186 OR Primary
Family Medicine Physician 207Q00000X 10030186 OR

Addresses

Primary practice location

1049 Edgewater St NW
Salem, OR 97304-4046

Mailing address

PO Box 3417
Portland, OR 97208-3417
Phone (503) 413-3900

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
I20240911003937 OR Practitioner - Nurse Practitioner 0840730289 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Salem HealthGroup PAC ID 8628986668, 470 clinicians
Silverton HealthGroup PAC ID 8921901877, 147 clinicians

Practice addresses (Care Compare)

1049 Edgewater St NW
Suite 150
Salem, OR 97304-4046
Phone (503) 814-4400

1475 Mount Hood Ave
Woodburn, OR 97071-9066
Phone (503) 982-2174

Hospital & facility affiliations

  • Salem Hospital Hospital, Salem, OR, CCN 380051
  • Legacy Silverton Medical Center Hospital, Silverton, OR, CCN 380029
  • Salem Health West Valley Hospital, Dallas, OR, CCN 381308

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10030186ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Health CurrentSince Jan 5, 2026 Accepting new patients
Silverton Health Current Accepting new patients
Salem Health Family Medicine CurrentSince Jan 5, 2026 Accepting new patients
Silverton Health Family Medicine CurrentSince Aug 29, 2024 Accepting new patients
Silverton Health CurrentSince Aug 29, 2024 Accepting new patients
Silverton Health Current Accepting new patients
Salem Health West Valley CurrentSince Jan 5, 2025 Accepting new patients
Silverton Health Current Accepting new patients

Locations

525 SE Washington St
Dallas, OR 97338
Phone (503) 623-7344

1601 Monmouth St
Ste 100
Independence, OR 97351
Phone (503) 623-8301

861 W Main St
Molalla, OR 97038
Phone (503) 829-7344

250 W Marquam St
Mount Angel, OR 97362
Phone (503) 845-2000

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

1049 Edgewater St NW
#150
Salem, OR 97304
Phone (503) 814-3343

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667

1475 Mount Hood Ave
Woodburn, OR 97071
Phone (503) 982-2174

Organizations & group practices 8

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 3

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": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1619709441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3417",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083417",
            "telephone_number": "503-413-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 EDGEWATER ST NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973044046",
            "telephone_number": "503-814-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUMMOW",
        "first_name": "JOY",
        "middle_name": "AUDREY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10030186",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "10030186",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.