Rogue Valley Pain Physical & Regenerative Medicine LLC
NPI 1285327635ActiveOrganization· Nurse Practitioner, Family· Medford, OR
Nurse Practitioner, Family in Medford, Oregon, registered in NPPES in May 2023. The authorized official on file is Eric Wruck, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1285327635 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 31, 2023 |
| Last updated in NPPES | May 31, 2023 |
| Certified by provider | May 31, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OR) |
|---|
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