Andrea L Nutt, FNP - Medicare Nurse Practitioner in Sheridan, OR

Andrea L Nutt, FNP is a medicare enrolled "Nurse Practitioner - Family" in Sheridan, Oregon. Her current practice location is 222 Se Jefferson St, Sheridan, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 843-1535.

Andrea L Nutt is licensed to practice in Oregon (license number 201705780NP-PP) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093192965.

Contact Information

Andrea L Nutt, FNP
222 Se Jefferson St,
Sheridan, OR 97378-1924
(503) 843-1535
(503) 843-1536

Map and Direction




Provider's Profile

Full NameAndrea L Nutt
GenderFemale
SpecialityNurse Practitioner - Family
Location222 Se Jefferson St, Sheridan, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093192965
  • Provider Enumeration Date: 04/29/2015
  • Last Update Date: 08/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0547533325
  • Enrollment ID: I20170829004196

Medical Identifiers

Medical identifiers for Andrea L Nutt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093192965NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 201705780NP-PP (Oregon)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Andrea L Nutt allows following entities to bill medicare on her behalf.
Entity NameNorthwest Medical Foundation Of Tillamook
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871575225
PECOS PAC ID: 5092619569
Enrollment ID: O20031208000676
Entity NameIcco Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407004757
PECOS PAC ID: 1355406729
Enrollment ID: O20090218000510

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Andrea L Nutt is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Andrea L Nutt, FNP
Po Box 1023,
Roseburg, OR 97470-0232

Ph: (541) 440-6390
Andrea L Nutt, FNP
222 Se Jefferson St,
Sheridan, OR 97378-1924

Ph: (503) 843-1535

Reviews and Comments


Nurse Practitioner Nurses in Sheridan, OR

Melissa Sue M Thomas, F.N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 950 Se Sheridan Rd, Sheridan, OR 97378
Phone: 503-843-4071    Fax: 503-843-4070

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.