Eden Practitioners LLC
NPI 1376219147ActiveOrganization· Nurse Practitioner, Family· Medford, OR
Nurse Practitioner, Family in Medford, Oregon, registered in NPPES in August 2021. The authorized official on file is Dane Fickes, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1376219147 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 20, 2021 |
| Last updated in NPPES | Aug 12, 2022 |
| Certified by provider | Aug 12, 2022 |
Specialties and licenses
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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