Individual provider Active NPI

Karla G Marvich, RN, CNL

  • Psychiatric/Mental Health Nurse Practitioner
  • Eugene, OR
National Provider Identifier
1649522178
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
201501497NP-PP Issued in OR
Practice address
1976 Garden Ave
Eugene, OR 97403-1933
Phone
(541) 255-1411
Fax
(541) 255-1412
NPI assigned
Oct 8, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 201040098RN OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 201501497NP-PP OR Primary

Addresses

Primary practice location

1976 Garden Ave
Eugene, OR 97403-1933

Mailing address

1976 Garden Ave
Eugene, OR 97403-1933
Phone (541) 255-1411

Other practice location 1

1345 Birch Ave
Cottage Grove, OR 97424-1416
Phone (541) 942-3939

Other practice location 2

1551 Oak St Ste B
Eugene, OR 97401-4023
Phone (541) 255-1411

Other identifiers 1

IdentifierTypeStateIssuer
1306905831MedicaidOR

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
I20170915001651 OR Practitioner - Nurse Practitioner 1052614245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bridges Community Health Inc 14 clinicians

Practice addresses (Care Compare)

1976 Garden Ave
Eugene, OR 97403-1933
Phone 54125514111010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201040098RNORMDRegistered Nurse
201501497NP-PPORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bridges Community Health Inc. Psychiatric/Mental Health CurrentSince Jan 25, 2019 Accepting new patients

Locations

1450 Birch Ave
Cottage Grove, OR 97424
Phone (541) 255-1411

210 S 5th St
Cottage Grove, OR 97424
Phone (541) 255-1411

1976 Garden Ave
Eugene, OR 97403
Phone (541) 255-1411

1711 Willamette St
Ste 301
Eugene, OR 97401
Phone (208) 596-6910

1551 Oak St
Ste B
Eugene, OR 97401
Phone (541) 255-1411

Organizations & group practices 1

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": "1349654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1649522178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1976 GARDEN AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974031933",
            "telephone_number": "541-255-1411",
            "fax_number": "541-255-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1976 GARDEN AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974031933",
            "telephone_number": "541-255-1411",
            "fax_number": "541-255-1412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1345 Birch Ave",
            "address_purpose": "LOCATION",
            "city": "Cottage Grove",
            "state": "OR",
            "postal_code": "974241416",
            "country_code": "US",
            "telephone_number": "541-942-3939",
            "fax_number": "541-942-9310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1551 Oak St Ste B",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974014023",
            "country_code": "US",
            "telephone_number": "541-255-1411",
            "fax_number": "541-255-1412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARVICH",
        "first_name": "KARLA",
        "middle_name": "G",
        "credential": "RN, CNL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-08",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201040098RN",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201501497NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306905831",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.