Misty Elizabeth Vicente, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Medford, OR
NPI 1831926286 · NPPES record last updated Aug 6, 2026
Key facts
- NPI
- 1831926286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 10032608 (OR)
- Practice address
- 1333 E Barnett Rd
Medford, OR 97504-8219 - Phone
- (541) 779-4711
- NPI assigned
- Sep 18, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Allcare Medical Group LLC
Practice addresses (Care Compare)
1716 Williams Hwy
Grants Pass, OR 97527-5661
Phone (541) 474-4527
Hospital & facility affiliations
- Riverside Home Health Care
- Asante Three Rivers Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241029000577 | OR | Practitioner - Nurse Practitioner | 6507399623 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allcare Medical Group LLC | Current |
Accepting new patients | |
| Northwest Family Practice LLC | Past | Accepting new patients | |
| Mark Allen Rondeau | Past | Accepting new patients |
Locations
341 E Cottage Park Dr
Ste 1
Cave Junction, OR 97523
Phone (541) 450-3625
1701 NE 7th St
Grants Pass, OR 97526
Phone (541) 471-4106
1716 Williams Hwy
Grants Pass, OR 97527
Phone (541) 474-6053
124 NW Midland Ave
Ste J
Grants Pass, OR 97526
Phone (541) 476-8859
Interoperability endpoints
- mistyelizabeth@acmgllc.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 10032608 | OR | Yes |
Addresses
Primary practice location
1333 E Barnett Rd
Medford, OR 97504-8219
Mailing address
1333 E Barnett Rd
Medford, OR 97504-8219
Phone (541) 779-4711
Other providers in Medford, OR
- Julie Verespej
- John-Paul Veri
- Brandi Verkempinck
- Jacqueline Verlinich
- Charles Neil Versteeg Jr.
- Eddie Carlton Vick
- Vicki Lumley, PH.D., LLC
- Trisha Vieira
- Arismendi Villa Saucedo
- Alberta Villa
All providers in Medford, OR · Family Nurse Practitioner in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.