Individual provider Active NPI

Rebecca Werner, ARNP

  • Family Nurse Practitioner
  • Medford, OR
National Provider Identifier
1881739332
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
202114554NP Issued in OR
Practice address
781 Black Oak Dr Ste 102
Medford, OR 97504-9501
Phone
(541) 789-4236
Fax
(541) 789-5965
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 5053831-4405 UT
Family Nurse Practitioner 363LF0000X 202114554NP OR Primary

Addresses

Primary practice location

781 Black Oak Dr Ste 102
Medford, OR 97504-9501

Mailing address

781 Black Oak Dr Ste 102
Medford, OR 97504-9501
Phone (541) 789-4236

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
I20220204000602 OR Practitioner - Nurse Practitioner 6901902857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asante Physician PartnersGroup PAC ID 8325206246, 227 clinicians

Practice addresses (Care Compare)

625 SW Ramsey Ave
Suite a
Grants Pass, OR 97527-5808
Phone (541) 507-2290

781 Black Oak Dr
Medford, OR 97504-9502
Phone (541) 789-4236

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202114554NPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Asante Physician Partners CurrentSince Mar 20, 2022 Accepting new patients

Locations

625 SW Ramsey Ave
Grants Pass, OR 97527
Phone (541) 244-2044

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

781 Black Oak Dr
Ste 102
Medford, OR 97504
Phone (541) 789-4236

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1881739332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 BLACK OAK DR STE 102",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975049501",
            "telephone_number": "541-789-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 BLACK OAK DR STE 102",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975049501",
            "telephone_number": "541-789-4236",
            "fax_number": "541-789-5965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNER",
        "first_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2022-01-20",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "UT",
            "license": "5053831-4405",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202114554NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.