Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrea L Nutt, FNP

Individual provider Family Nurse Practitioner · NPI 1093192965

Andrea L Nutt, FNP is a Nurse Practitioner in Sheridan, Oregon. Qualified in 2017, 9 years ago. Practices with Icco LLC, a 133-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
9
Licensed in
OR
In the registry since
2015
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

222 SE Jefferson St
Sheridan, OR 97378-1924
Phone: (503) 843-1535
Fax: (503) 843-1536
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 780 Nw Garden Valley Blvd Ste 310, Roseburg, OR 97471-2298 — (541) 672-4885

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 201705780NP-PP (OR)

Record details

NPI number1093192965
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedApril 29, 2015
Last updated in NPPESAugust 9, 2023
Certification dateAugust 9, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Icco Llc — 133 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount