Individual provider Active NPI

Victoria Mayo, PA-C

  • Medical Physician Assistant
  • Eugene, OR
National Provider Identifier
1972264679
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA217963 Issued in OR
Practice address
2911 Tennyson Ave Ste 201
Eugene, OR 97408-4393
Phone
(541) 844-1495
Fax
(541) 844-1492
NPI assigned
Jan 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA217963 OR Primary

Addresses

Primary practice location

2911 Tennyson Ave Ste 201
Eugene, OR 97408-4393

Mailing address

2911 Tennyson Ave Ste 201
Eugene, OR 97408-4393
Phone (541) 844-1495

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
I20250730003506 OR Practitioner - Physician Assistant 5698282812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inkwell Medical Group LLCGroup PAC ID 2365580404, 3 clinicians

Practice addresses (Care Compare)

2911 Tennyson Ave
Suite 201
Eugene, OR 97408-4393
Phone (541) 844-1495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA217963ORMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Industrial & Family Medical Group PastSince Jan 17, 2022 Accepting new patients

Organizations & group practices 2

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": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1972264679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 TENNYSON AVE STE 201",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974084393",
            "telephone_number": "541-844-1495",
            "fax_number": "541-844-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 TENNYSON AVE STE 201",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974084393",
            "telephone_number": "541-844-1495",
            "fax_number": "541-844-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYO",
        "first_name": "VICTORIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA217963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.