Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255531638 Individual Practitioner Female Practitioner

Nancy Alexandria Cavanaugh , PNP

Nurse Practitioner - Pediatrics • Medford, OR

Professional Overview & Biography Verified Profile Summary

Nancy Cavanaugh, PNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Medford, OR. Practice services are available at 3617 S PACIFIC HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3617 S Pacific Hwy

Medford, OR 975018957

Telephone 5415356239
Fax 5415121026
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Medford, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
10 Specialists

Practicing in Medford, OR (225 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License OR 201250005NP

Definition to come...

Registered Nurse - Pediatrics

NUCC Taxonomy Code: 163WP0200X

State License OR 201142758RN

Definition to come...

Registered Nurse - Pediatrics

NUCC Taxonomy Code: 163WP0200X

State License OR 201250005NP

Definition to come...

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License AK 220

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500648116 (OR)
Medicaid State Provider ID
NP13731 (AK)
Commercial Insurance / Payer ID Medicare Ptan
R173833 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003695396
Tamara Chambers , APRN, FNP-C

Nurse Practitioner - Family

NPI 1013227602

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Itzel Perez Zaragoza

Licensed Practical Nurse

NPI 1013885441
Elise Travertini , LCSW

Social Worker - Clinical

NPI 1023326659

Licensed Clinical Social Worker

Yliana Duarte-Chavez

Community Health Worker

NPI 1023891397
Kara Carney , RN

Registered Nurse

NPI 1033415856

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 14, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 14, 2014

Registered at 3617 S PACIFIC HWY, MEDFORD, OR 975018957 (Tel: 5415356239)

📍
Updated Business Mailing Address March 14, 2014

Registered at 859 WHITE OAK AVE, CENTRAL POINT, OR 975023608 (Tel: 5414235332)

👤
Provider Name / Credentials Updated March 14, 2014

Recorded as NANCY CAVANAUGH, PNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2014

Registered Nurse (License #201250005NP in OR)

🟢
Initial NPI Registration & Enumeration July 23, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255531638
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2007
Last Update: March 14, 2014
Sole Proprietor: No

Mailing Address

859 White Oak Ave

Central Point, OR 975023608

Phone: 5414235332

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.