Inkwell Medical Group LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD24983 Issued in OR

Legal business name

INKWELL MEDICAL GROUP LLC

Practice address

2911 Tennyson Ave
Suite 201
Eugene, OR 97408-4693

Phone

(541) 359-7697

NPI assigned

Jul 25, 2009

Organization subpart

No

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

Authorized official

Name

Brittany Devereux

Title

Clinic Manager

Phone

(541) 844-1495

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HCCHAA

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martin Hurtado, MD

  • Family Medicine Physician
  • Eugene, OR
  • NPI 1568430304
  Medicare reassignment Care Compare group NPD
• Zachery Marker, PA

  • Medical Physician Assistant
  • Eugene, OR
  • NPI 1528738028
  Medicare reassignment Care Compare group
• Victoria Mayo, PA-C

  • Medical Physician Assistant
  • Eugene, OR
  • NPI 1972264679
  Medicare reassignment Care Compare group
• Eva Renee Schmidt, FNP-BC

  • Family Nurse Practitioner
  • Springfield, OR
  • NPI 1245349125
  Medicare reassignment NPD
• Victoria Danielle Mayo, PA-C

  • Physician Assistant
  • Milwaukee, WI
  • NPI 1265909246

  OR

  Medicare reassignment
• Brittany M Nabors

  • Mental Health Counselor
  • Eugene, OR
  • NPI 1215168042
  NPD

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

{
    "created_epoch": "1248480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1992935878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 TENNYSON AVE",
            "address_2": "SUITE 201",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974084693",
            "telephone_number": "541-359-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 TENNYSON AVE",
            "address_2": "SUITE 201",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974084693",
            "telephone_number": "541-359-7697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INKWELL MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-25",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "DEVEREUX",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "541-844-1495"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD24983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON LICENSE FOR MARTIN HURTADO, MD - OWNER",
            "identifier": "MD24983",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Infrared Breast Health,LLC
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• Jennifer Suzanne Ingle, PHARM D
• Holly Michelle Ingling, CRCC
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• Inner Light Counseling & Bodywork LLC
• Inner Room Somatic Therapy, LLC
• Inner Sage Wellness LLC
• Risa Jane Inniss

• Family Medicine Physician in Eugene, OR
• Providers in Eugene, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.