Individual provider Active NPI

Milton Armando Villalobos, FNP-C

  • Family Nurse Practitioner
  • Salem, OR
National Provider Identifier
1962380980
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10047425 Issued in OR
Practice address
1880 Lancaster Dr NE Ste 104
Salem, OR 97305-1040
Phone
(971) 273-0679
Fax
(503) 961-0794
NPI assigned
Aug 26, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10047425 OR Primary

Addresses

Primary practice location

1880 Lancaster Dr NE Ste 104
Salem, OR 97305-1040

Mailing address

1880 Lancaster Dr NE Ste 104
Salem, OR 97305-1040
Phone (971) 273-0679

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
I20251105000179 OR Practitioner - Nurse Practitioner 2668962051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Moscati Community Health CareGroup PAC ID 8426312497, 5 clinicians

Practice addresses (Care Compare)

1880 Lancaster Dr NE
Suite 104
Salem, OR 97305-1040
Phone (971) 273-0679

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10047425ORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Moscati Community Health Care CurrentSince Oct 1, 2025 Accepting new patients

Locations

1880 Lancaster Dr NE
Ste 104
Salem, OR 97305
Phone (503) 587-9949

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17738/brand/1/csg/1/fhir/r4
  • Direct secure messaging: milton.villalobos@532866887647236.direct.elationemr.com

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": "1756166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1962380980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 LANCASTER DR NE STE 104",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973051040",
            "telephone_number": "971-273-0679",
            "fax_number": "503-961-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 LANCASTER DR NE STE 104",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973051040",
            "telephone_number": "971-273-0679",
            "fax_number": "503-961-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALOBOS",
        "first_name": "MILTON",
        "middle_name": "ARMANDO",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10047425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.