Active NPI 1245965623 Individual Practitioner Female Practitioner

Staci A Roberts , RN

Registered Nurse - General Practice • Pendleton, OR

Professional Overview & Biography Verified Profile Summary

Staci Roberts, RN is a registered healthcare professional specializing in Registered Nurse - General Practice in Pendleton, OR. Practice services are available at 46314 TIMINE WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

46314 Timine Way

Pendleton, OR 978019417

Telephone 5419669830

Associated Practice Facility / Clinic

🏢 Yellowhawk Tribal Health Center Facility NPI 1346283488

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse - General Practice in Pendleton, OR

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

3 Specialists

Practicing in Pendleton, OR (78 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

CMS Verified: 2022-07-20

Registered Nurse - General Practice Primary Specialty

NUCC Taxonomy Code: 163WG0000X

State License OR 200842075RN

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Oregon Board Of Nursing

200842075RN (OR)

Practice Associates & Co-Workers

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

40 Associated Practitioners

Cody Cimmiyotti

Peer Specialist

NPI 1003506429

Dr. Waldon Zimmerman , DMD

Dentist

NPI 1013107515

Doctor of Dental Medicine

Ian Sampson

Peer Specialist

NPI 1013403286

Amy Allen , RN

Registered Nurse

NPI 1013792696

Registered Nurse

Allan Jio

Pharmacist

NPI 1013928563

Anna Allen , RPH

Pharmacist

NPI 1033492822

Registered Pharmacist

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 20, 2022

NPI status registered as active in NPPES database

📍

Updated Practice Location July 20, 2022

Registered at 46314 TIMINE WAY, PENDLETON, OR 978019417 (Tel: 5419669830)

📍

Updated Business Mailing Address July 20, 2022

Registered at PO BOX 160, PENDLETON, OR 978010160 (Tel: 5419669830)

👤

Provider Name / Credentials Updated July 20, 2022

Recorded as STACI ROBERTS, RN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2022

Registered Nurse (License #200842075RN in OR)

🟢

Initial NPI Registration & Enumeration July 20, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1245965623

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 20, 2022

Last Update: July 20, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 160

Pendleton, OR 978010160

Phone: 5419669830

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.