OrganizationActive
Well Spring Health LLC
NPI 1417581315 · Gerontology Nurse Practitioner · Medford, OR
Provider details
- NPI number
- 1417581315
- Entity type
- Organization
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Shirley Hanley, President(888) 719-3491
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
835 Crater Lake Ave
Medford, OR 97504-6505
Phone: (888) 719-3491
Street-level locationGet directions
Mailing address
1208 Beall Ln
Central Point, OR 97502-1573
Registry dates
- Enumerated
- 2020-02-28
- Last updated
- 2023-05-02
- Certified
- 2023-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.