Applegate Valley Family Medicine, LLC
NPI 1629174495ActiveOrganization· Nurse Practitioner, Family· Grants Pass, OR
Nurse Practitioner, Family in Grants Pass, Oregon, registered in NPPES in September 2006. The authorized official on file is Roger M. Fogg, FNP-C, Owner.
Overview
| NPI | 1629174495 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 16, 2006 |
| Last updated in NPPES | May 31, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 222705-99 | OR |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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