Individual provider Active NPI

Vanessa Johnston, FNP-C

  • Pain Medicine Physician
  • Eugene, OR
National Provider Identifier
1639647449
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
201810088NP-PP Issued in OR
Practice address
1605 Oak St
Eugene, OR 97401-4022
Phone
(541) 246-3400
Fax
(541) 246-3421
NPI assigned
Nov 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 201810088NP-PP OR
Pain Medicine Physician 208VP0000X 201810088NP-PP OR Primary

Addresses

Primary practice location

1605 Oak St
Eugene, OR 97401-4022

Mailing address

2852 Willamette St Ste 400
Eugene, OR 97405-8200
Phone (541) 246-3400

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
I20190401002552 OR Practitioner - Nurse Practitioner 0244571206 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)

1605 Oak St
Eugene, OR 97401-4022
Phone (541) 246-3400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201810088NP-PPORMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain GPS Clinic, LLC Pain Medicine CurrentSince Mar 9, 2020 Accepting new patients
Digital Clinic LLC Nurse Practitioner PastSince Jan 1, 2021 Accepting new patients

Locations

2852 Willamette St
Eugene, OR 97405
Phone (541) 255-9061

1605 Oak St
Eugene, OR 97401
Phone (541) 246-3400

1607 Oak St
Eugene, OR 97401
Phone (541) 246-3400

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1639647449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2852 WILLAMETTE ST STE 400",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974058200",
            "telephone_number": "541-246-3400",
            "fax_number": "541-246-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 OAK ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014022",
            "telephone_number": "541-246-3400",
            "fax_number": "541-246-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "VANESSA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-09",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "201810088NP-PP",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OR",
            "license": "201810088NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.