Active NPI
Laurel Beth Stiedemann
- Medical Physician Assistant
- Eugene, OR
National Provider Identifier
1891036901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA169793
- Practice address
- 590 Country Club Pkwy Ste a
Eugene, OR 97401-6025 - Phone
- (541) 683-1559
- Fax
- (541) 683-1709
- NPI assigned
- Mar 14, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA169793 | OR | Primary |
Addresses
Primary practice location
590 Country Club Pkwy Ste a
Eugene, OR 97401-6025
Mailing address
PO Box 70368
Springfield, OR 97475-0120
Phone (541) 485-2777
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
590 Country Club Pkwy
Eugene, OR 97401-6025
Merit-based Incentive Payment System (MIPS)
- Final score
- 63.97 of 100
- Quality
- 79.08
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 84.14
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.68 of 100
- Quality
- 73.02
- Promoting interoperability
- 80
- Improvement activities
- 40
- Cost
- 85.92
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
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.
-
- Obstetrics & Gynecology Physician
- Springfield, OR
- NPI 1144250044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743984000000",
"number": "1891036901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 70368",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974750120",
"telephone_number": "541-485-2777",
"fax_number": "541-246-2353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 COUNTRY CLUB PKWY STE A",
"city": "EUGENE",
"state": "OR",
"postal_code": "974016025",
"telephone_number": "541-683-1559",
"fax_number": "541-683-1709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIEDEMANN",
"first_name": "LAUREL",
"middle_name": "BETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-14",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OR",
"license": "PA169793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.