Eden Practitioners LLC
NPI 1376219147 · Family Nurse Practitioner · Medford, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Eden Practitioners LLC is a Family Nurse Practitioner organization in Medford, OR (NPI 1376219147).
Provider details
- NPI number
- 1376219147
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Dane Fickes, Owner(541) 329-0478
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Community Health Nurse Practitioner363LC1500X
Physician Assistants & Advanced Practice Nursing Providers
- Community Health Clinic/Center261QC1500X
Ambulatory Health Care Facilities
- Pharmacist183500000X
Pharmacy Service Providers
Ambulatory Health Care Facilities
Pharmacy Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Eden Practitioners
- Doing business as
- Eden Practitioners
Registry dates
- Enumerated
- 2021-08-20
- Last updated
- 2022-08-12
- Certified
- 2022-08-12
Frequently asked questions
- What is Eden Practitioners LLC's NPI number?
- Eden Practitioners LLC's National Provider Identifier (NPI) is 1376219147, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eden Practitioners LLC?
- Eden Practitioners LLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Eden Practitioners LLC located?
- Eden Practitioners LLC's practice location on file with NPPES is 843 E Main St Ste 204, Medford, OR 97504-7137.
- What is Eden Practitioners LLC's phone number?
- The practice phone number listed in the NPPES registry for Eden Practitioners LLC is (541) 329-0478.
- Does Eden Practitioners LLC accept Medicare?
- Eden Practitioners LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Eden Practitioners LLC?
- The authorized official listed on Eden Practitioners LLC's NPPES record is Dane Fickes, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eden Practitioners LLC's NPI active?
- Yes — Eden Practitioners LLC's NPI (1376219147) is active in the NPPES registry as of the last update on 2022-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.