Individual provider Active NPI

Mikael Aragon, MSN, FNP-C

  • Family Nurse Practitioner
  • Stayton, OR
National Provider Identifier
1740026459
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10028818 Issued in OR
Practice address
1100 E Jefferson St
Stayton, OR 97383-2104
Phone
(402) 613-2212
NPI assigned
Jul 2, 2024
Last updated
Jul 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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 10028818 OR Primary

Addresses

Primary practice location

1100 E Jefferson St
Stayton, OR 97383-2104

Mailing address

1100 E Jefferson St
Stayton, OR 97383-2104
Phone (402) 613-2212

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
I20240926001329 OR Practitioner - Nurse Practitioner 0244771590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salem Clinic PCGroup PAC ID 7517954514, 96 clinicians

Practice addresses (Care Compare)

2531 Boone Rd SE
Salem, OR 97306-9675
Phone (503) 399-2424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10028818ORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Clinic, PC CurrentSince Sep 9, 2024 Accepting new patients
Salem Clinic, PC Past Accepting new patients

Locations

2020 Capitol St NE
Salem, OR 97301
Phone (503) 399-2470

2531 Boone Rd SE
Salem, OR 97306
Phone (503) 399-2470

Interoperability endpoints

  • Direct secure messaging: maragon38785@salemclinic.gardenplot.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1740026459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E JEFFERSON ST",
            "city": "STAYTON",
            "state": "OR",
            "postal_code": "973832104",
            "telephone_number": "402-613-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E JEFFERSON ST",
            "city": "STAYTON",
            "state": "OR",
            "postal_code": "973832104",
            "telephone_number": "402-613-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAGON",
        "first_name": "MIKAEL",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10028818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stayton, OR

Sources for this page

Verify at the official NPI Registry.