Individual provider Active NPI

David Owens, ACAGNP

  • Acute Care Nurse Practitioner
  • Eugene, OR
National Provider Identifier
1649644618
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
201902325NP-PP Issued in OR
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

Updated by the provider on Jan 24, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190619000292 OR Practitioner - Nurse Practitioner 0143522367 Reassigns benefits to 4 organizations
I20250729003105 ME Practitioner - Nurse Practitioner 0143522367 Reassigns benefits to 1 organization

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
York HospitalGroup PAC ID 6406766781, 202 clinicians

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

LicenseStateTypeSpecialty
APN0000020683TNMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McKenzie Physician Services LLC CurrentSince Jun 4, 2019 Accepting new patients
Icco, LLC CurrentSince Jan 26, 2020 Accepting new patients
Icco LLC CurrentSince Jan 6, 2020 Accepting new patients
Icco LLC CurrentSince Jan 6, 2020 Accepting new patients
York Hospital CurrentSince Aug 1, 2025 Accepting new patients
Sound Physicians Intensivists of Washington PLLC CurrentSince Aug 11, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.