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

Jacob Ross, FNP-C

Individual provider Family Nurse Practitioner · NPI 1770355851

Jacob Ross, FNP-C is a Nurse Practitioner in Medford, Oregon. Qualified in 2023, 3 years ago. Practices with Valley Immediate Care, LLC, a 38-clinician group and accepts Medicare assignment. Licensed in Oregon and Utah.

Years since qualifying
3
Licensed in
OR, UT
In the registry since
2023
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1600 Delta Waters Rd Ste 107
Medford, OR 97504-9114
Phone: (541) 858-2515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 10031846 (OR)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 1 (UT)

Record details

NPI number1770355851
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedOctober 23, 2023
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Valley Immediate Care, Llc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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