Individual provider Active NPI

Patricia Dawn Patterson, FNP

  • Family Nurse Practitioner
  • Redmond, OR
National Provider Identifier
1881702231
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
341309 Issued in NY
Practice address
1253 NW Canal Blvd
Redmond, OR 97756-1334
Phone
(541) 706-8131
Fax
(541) 460-4028
NPI assigned
Aug 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R754536 MS
Family Nurse Practitioner 363LF0000X 341309 NY Primary
Acute Care Nurse Practitioner 363LA2100X 10012119 OR

Addresses

Primary practice location

1253 NW Canal Blvd
Redmond, OR 97756-1334

Mailing address

PO Box 6095
Bend, OR 97708-6095
Phone (541) 706-5922

Other practice location 1

4 Willow Pt
Suite 50
Hattiesburg, MS 39402-1150
Phone (601) 296-3070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, NY, PA, AL, TX5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20040603001362 MS Practitioner - Nurse Practitioner 2466434360 Reassigns benefits to 7 organizations
I20170301002207 NY Practitioner - Nurse Practitioner 2466434360 Reassigns benefits to 1 organization
I20180104001572 PA Practitioner - Nurse Practitioner 2466434360
I20220708000193 AL Practitioner - Nurse Practitioner 2466434360 Reassigns benefits to 1 organization
I20231107001538 TX Practitioner - Nurse Practitioner 2466434360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Mississippi School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Alaska Regional Health ConsortiumGroup PAC ID 1456265362, 373 clinicians

Practice addresses (Care Compare)

7300 Klawock Hollis Hwy
Klawock, AK 99925-7891
Phone (907) 755-4800

Hospital & facility affiliations

  • Southeast Alaska Regional Health Consortium Hospital, Sitka, AK, CCN 021314

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10012119ORMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Medical Services of Alabama, Inc. CurrentSince May 1, 2022 Accepting new patients
Hattiesburg Urgent Care, LLC CurrentSince Jan 24, 2023 Accepting new patients
Keystone Medical Services of Ms, Inc CurrentSince Jul 9, 2012 Accepting new patients
Singing River Gulfport CurrentSince Nov 1, 2022 Accepting new patients
Orange Grove Urgent Care CurrentSince Jan 24, 2023 Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Picayune Urgent Care Clinic, LLC CurrentSince Jan 24, 2023 Accepting new patients
Singing River Gulfport CurrentSince Nov 1, 2022 Accepting new patients
Gulfport 49 Imaging, LLC CurrentSince Jan 24, 2023 Accepting new patients
Keystone Medical Services of New York, PC CurrentSince Aug 1, 2018 Accepting new patients
Pascagoula Urgent Care CurrentSince Jan 24, 2023 Accepting new patients
Medical Services of Meridian, Inc. CurrentSince Mar 15, 2019 Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
South East Alaska Regional Health Consortium CurrentSince Oct 23, 2023 Accepting new patients
St. Charles Health System, Inc. Past Accepting new patients
St. Charles Health System, Inc. Past Accepting new patients
St. Charles Health System, Inc. Past Accepting new patients
St. Charles Health System, Inc. Past Accepting new patients
Forrest County General Hospital Past Accepting new patients

Locations

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423

1330 Highway 231 S
Troy, AL 36081
Phone (334) 370-5000

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

10556 Highway 49
Gulfport, MS 39503
Phone (228) 539-2399

350 Cowan Rd
Gulfport, MS 39507
Phone (228) 206-7054

15200 Community Rd
Gulfport, MS 39503
Phone (228) 575-7000

6101 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 909-6240

300 SE 3rd Ave
Magee, MS 39111
Phone (601) 849-5070

2124 14th St
Meridian, MS 39301
Phone (601) 483-8811

2210 Denny Ave
Pascagoula, MS 39567
Phone (228) 372-6040

422 Memorial Blvd
Picayune, MS 39466
Phone (601) 749-0080

100 Hospital Dr
Tylertown, MS 39667
Phone (601) 876-0455

521 East Ave
Lockport, NY 14094
Phone (716) 434-9111

6075 Poplar Ave
Ste 401
Memphis, TN 38119
Phone (901) 795-3600

Interoperability endpoints

  • Direct secure messaging: ppatterson@direct-searhc.org

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 35

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1881702231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6095",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977086095",
            "telephone_number": "541-706-5922",
            "fax_number": "541-706-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 NW CANAL BLVD",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561334",
            "telephone_number": "541-706-8131",
            "fax_number": "541-460-4028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Willow Pt",
            "address_2": "Suite 50",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394021150",
            "country_code": "US",
            "telephone_number": "601-296-3070",
            "fax_number": "601-450-0984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "PATRICIA",
        "middle_name": "DAWN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-27",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "R754536",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "341309",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OR",
            "license": "10012119",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

Verify at the official NPI Registry.