Active NPI
Angela H. Marcucilli, FNP
- Family Nurse Practitioner
- Ashland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201506295NP-PP
- Practice address
- 540 Catalina Dr
Ashland, OR 97520-1605 - Phone
- (541) 727-8972
- Fax
- (833) 638-0201
- NPI assigned
- Apr 27, 2016
- Last updated
- Mar 4, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 201506295NP-PP | OR | Primary |
Addresses
Primary practice location
540 Catalina Dr
Ashland, OR 97520-1605
Mailing address
540 Catalina Dr
Ashland, OR 97520-1605
Phone (541) 727-8972
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
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1910 E Barnett Rd
Suite 102
Medford, OR 97504-8672
Phone (541) 727-8972
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Bend Medical Center Inc | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients |
Locations
110 10th St SE
Bandon, OR 97411
Phone (541) 347-1515
1900 Woodland Dr
Coos Bay, OR 97420
Phone (541) 267-5151
940 Royal Ave
Unit 350
Medford, OR 97504
Phone (541) 732-7460
Organizations & group practices 3
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.
-
- Primary Care Clinic/Center
- Ashland, OR
- NPI 1841879509
-
dba NBMC-Main
- Multi-Specialty Clinic/Center
- Coos Bay, OR
- NPI 1407812365
-
dba Providence Medical Group South
- Family Medicine Physician
- Medford, OR
- NPI 1568547503
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Asante Rogue Regional Medical Center
- General Acute Care Hospital
- Medford, OR
- NPI 1770587107
-
- General Acute Care Hospital
- Ashland, OR
- NPI 1730628827
-
dba Providence Medford Medical Center
- General Acute Care Hospital
- Medford, OR
- NPI 1689755670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772582400000",
"number": "1942655931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 CATALINA DR",
"city": "ASHLAND",
"state": "OR",
"postal_code": "975201605",
"telephone_number": "541-727-8972",
"fax_number": "833-638-0201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 CATALINA DR",
"city": "ASHLAND",
"state": "OR",
"postal_code": "975201605",
"telephone_number": "541-727-8972",
"fax_number": "833-638-0201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCUCILLI",
"first_name": "ANGELA",
"middle_name": "H.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-27",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201506295NP-PP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.