Bear Valley Medical Clinic
NPI 1780287342ActiveOrganization· Nurse Practitioner· Grants Pass, OR
Nurse Practitioner in Grants Pass, Oregon, registered in NPPES in November 2020. The authorized official on file is Cherie Tibbits, Clinic Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1780287342 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 17, 2020 |
| Last updated in NPPES | Dec 15, 2020 |
| Certified by provider | Dec 15, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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