Individual provider Active NPI

Virginia Vanwart, FNP

  • Family Nurse Practitioner
  • Medford, OR
National Provider Identifier
1649873530
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
202010481NP-PP Issued in OR
Practice address
3011 E Barnett Rd
Medford, OR 97504
Phone
(541) 789-4673
Fax
(541) 789-2121
NPI assigned
Nov 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 202010481NP-PP OR Primary

Addresses

Primary practice location

3011 E Barnett Rd
Medford, OR 97504

Mailing address

PO Box 4749
Medford, OR 97501-0227
Phone (541) 789-4111

Other practice location 1

510 SW Ramsey Ave
Grants Pass, OR 97527-5554
Phone (541) 789-4673

Other names 1

  • Ms. Virginia Vanwart Other name

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
I20210203002021 OR Practitioner - Nurse Practitioner 2264846179 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Asante 141 clinicians
Asante Three Rivers Medical Center LLC 98 clinicians

Practice addresses (Care Compare)

2825 E Barnett Rd
Medford, OR 97504-8332
Phone (541) 789-7000

500 SW Ramsey Ave
Grants Pass, OR 97527-5554
Phone (541) 472-7000

Hospital & facility affiliations

  • Asante Rogue Regional Medical Center Hospital, Medford, OR, CCN 380018
  • Asante Three Rivers Medical Center Hospital, Grants Pass, OR, CCN 380002

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Asante CurrentSince Jan 15, 2022 Accepting new patients
Asante Physician Partners CurrentSince May 20, 2024 Accepting new patients
Asante Three Rivers Medical Center, LLC CurrentSince Nov 1, 2021 Accepting new patients
Asante CurrentSince Jan 15, 2022 Accepting new patients
Asante Ashland Community Hospital, LLC Past Accepting new patients

Locations

280 Maple St
Ashland, OR 97520
Phone (541) 201-4000

1879 Williams Hwy
Grants Pass, OR 97527
Phone (541) 774-5853

625 SW Ramsey Ave
Ste A
Grants Pass, OR 97527
Phone (541) 474-5004

3011 E Barnett Rd
Medford, OR 97504
Phone (541) 789-4673

2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770

2828 E Barnett Rd
Medford, OR 97504
Phone (541) 774-5853

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 2

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": "1605916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1649873530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4749",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975010227",
            "telephone_number": "541-789-4111",
            "fax_number": "541-789-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 E BARNETT RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "97504",
            "telephone_number": "541-789-4673",
            "fax_number": "541-789-2121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 SW Ramsey Ave",
            "address_purpose": "LOCATION",
            "city": "Grants Pass",
            "state": "OR",
            "postal_code": "975275554",
            "country_code": "US",
            "telephone_number": "541-789-4673",
            "fax_number": "541-789-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANWART",
        "first_name": "VIRGINIA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-21",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202010481NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRGINIA",
            "last_name": "VANWART",
            "prefix": "MS.",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.