Individual provider Active NPI

Dawn Sipes

  • Nurse Practitioner
  • Medford, OR
National Provider Identifier
1679944870
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71005848A Issued in IN
Practice address
2828 E Barnett Rd
Medford, OR 97504-8342
Phone
(541) 774-5853
NPI assigned
Oct 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71005848A IN Primary

Addresses

Primary practice location

2828 E Barnett Rd
Medford, OR 97504-8342

Mailing address

7081 State Road 1
Spencerville, IN 46788-9401
Phone (260) 573-9193

Other practice location 1

940 Royal Ave Unit 100
Medford, OR 97504-6194
Phone (541) 774-5853

Other practice location 2

1879 Williams Hwy
Grants Pass, OR 97527-5864
Phone (541) 774-5853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, UT2 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
I20190422000527 CO Practitioner - Nurse Practitioner 8628360344 Reassigns benefits to 1 organization
I20250613001871 UT Practitioner - Nurse Practitioner 8628360344 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
Telehealth
Offers telehealth services
Group practices
Intermountain Medical Group Grand Junction, LLCGroup PAC ID 3779707856, 297 clinicians

Practice addresses (Care Compare)

1050 Wellington Ave
Imh Wellington Lung and Sleep Clinic
Grand Junction, CO 81501-8121
Phone (970) 298-5864

501 Airport Rd
Rifle, CO 81650-8510
Phone (970) 298-7500

750 Wellington Ave
Grand Junction, CO 81501-6132

Hospital & facility affiliations

  • Intermountain Health St. Mary'S Regional Hospital Hospital, Grand Junction, CO, CCN 060023
  • Grand River Hospital District Hospital, Rifle, CO, CCN 061317
  • Moab Regional Hospital Hospital, Moab, UT, CCN 461302
  • Montrose Regional Health Hospital, Montrose, CO, CCN 060006
  • Memorial Hospital, the Hospital, Craig, CO, CCN 061314

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71005848AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Mar 4, 2019 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Mar 4, 2019 Accepting new patients
St Mary'S Hospital and Medical Center, Inc Past Accepting new patients
Asante Physician Partners PastSince Jul 1, 2016 Accepting new patients
St Mary'S Hospital and Medical Center, Inc Past Accepting new patients

Locations

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

750 Hospital Loop
Craig, CO 81625
Phone (970) 824-9411

750 Wellington Ave
Grand Junction, CO 81501
Phone (970) 244-2457

1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864

1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810

450 W Williams Way
Moab, UT 84532
Phone (435) 259-7191

Interoperability endpoints

  • Direct secure messaging: dawn.sipes@hoapc.ikm.direct-ci.com

Organizations & group practices 5

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 10

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": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1679944870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7081 STATE ROAD 1",
            "city": "SPENCERVILLE",
            "state": "IN",
            "postal_code": "467889401",
            "telephone_number": "260-573-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 E BARNETT RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048342",
            "telephone_number": "541-774-5853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 Royal Ave Unit 100",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975046194",
            "country_code": "US",
            "telephone_number": "541-774-5853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1879 Williams Hwy",
            "address_purpose": "LOCATION",
            "city": "Grants Pass",
            "state": "OR",
            "postal_code": "975275864",
            "country_code": "US",
            "telephone_number": "541-774-5853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIPES",
        "first_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71005848A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.