Active NPI
David Owens, ACAGNP
- Acute Care Nurse Practitioner
- Eugene, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 201902325NP-PP
- Practice address
- 4040 W 11TH Ave
Eugene, OR 97402-5601 - Phone
- (541) 640-7625
- NPI assigned
- Nov 13, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | APN0000020683 | TN | |
| Gerontology Nurse Practitioner | 363LG0600X | APN0000020683 | TN | |
| Gerontology Nurse Practitioner | 363LG0600X | 201902325NP-PP | OR | |
| Acute Care Nurse Practitioner | 363LA2100X | 201902325NP-PP | OR | Primary |
Addresses
Primary practice location
4040 W 11TH Ave
Eugene, OR 97402-5601
Mailing address
1292 High St Ste 224
Eugene, OR 97401-3238
Phone (541) 500-2500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15 Hospital Dr
York, ME 03909-1011
Phone (207) 363-4321
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000020683 | TN | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McKenzie Physician Services LLC | Current | Accepting new patients | |
| Icco, LLC | Current | Accepting new patients | |
| Icco LLC | Current | Accepting new patients | |
| Icco LLC | Current | Accepting new patients | |
| York Hospital | Current | Accepting new patients | |
| Sound Physicians Intensivists of Washington PLLC | Current | Accepting new patients |
Locations
15 Hospital Dr
York, ME 03909
Phone (207) 351-2478
1750 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-0333
4040 W 11th Ave
Eugene, OR 97402
Phone (541) 228-3865
598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473
1292 High St
Eugene, OR 97401
Phone (541) 636-3473
4040 W 11th Ave
Ste B
Eugene, OR 97402
Phone (458) 215-2311
1460 G St
Springfield, OR 97477
Phone (541) 431-0665
3333 Riverbend Dr
Springfield, OR 97477
Phone (541) 222-3154
Interoperability endpoints
- dowens23@yourcarecommunity.org
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- York, ME
- NPI 1376528398
-
- Critical Care Medicine (Internal Medicine) Physician
- Spokane, WA
- NPI 1528582699
OR
-
dba Sound Inpatient Physicians
- Internal Medicine Physician
- Hillsboro, OR
- NPI 1508023789
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- York, ME
- NPI 1376528398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579824000000",
"number": "1649644618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1292 HIGH ST STE 224",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013238",
"telephone_number": "541-500-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4040 W 11TH AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974025601",
"telephone_number": "541-640-7625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "DAVID",
"credential": "ACAGNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-13",
"last_updated": "2020-01-24",
"certification_date": "2020-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TN",
"license": "APN0000020683",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TN",
"license": "APN0000020683",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OR",
"license": "201902325NP-PP",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OR",
"license": "201902325NP-PP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.