Mosaic Medical
NPI 1629627203 · Federally Qualified Health Center (FQHC) · Prineville, OR
Mosaic Medical is a Federally Qualified Health Center (FQHC) organization in Prineville, OR (NPI 1629627203).
Provider details
- NPI number
- 1629627203
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Mosaic Medical
- Organization subpart
- Yes
- Authorized official
- Bobbi Surplus, Revenue Cycle Manager(541) 408-9486
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
Registry dates
- Enumerated
- 2019-09-06
- Last updated
- 2019-09-06
Frequently asked questions
- What is Mosaic Medical's NPI number?
- Mosaic Medical's National Provider Identifier (NPI) is 1629627203, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mosaic Medical?
- Mosaic Medical is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Mosaic Medical located?
- Mosaic Medical's practice location on file with NPPES is 375 Nw Beaver St Ste 101, Prineville, OR 97754-1802.
- What is Mosaic Medical's phone number?
- The practice phone number listed in the NPPES registry for Mosaic Medical is (541) 408-9486.
- Who is the authorized official for Mosaic Medical?
- The authorized official listed on Mosaic Medical's NPPES record is Bobbi Surplus, Revenue Cycle Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mosaic Medical's NPI active?
- Yes — Mosaic Medical's NPI (1629627203) is active in the NPPES registry as of the last update on 2019-09-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.