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

Mark L. Van Over, FNP

Individual provider Family Nurse Practitioner · NPI 1306015417

Mark L. Van Over, FNP is a Nurse Practitioner in Coos Bay, Oregon. Qualified in 2007, 19 years ago. Practices with Icco LLC, a 133-clinician group and accepts Medicare assignment. Licensed in California and Oregon.

Years since qualifying
19
Licensed in
CA, OR
In the registry since
2008
Specialties on file
2
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

1900 Woodland Dr
Coos Bay, OR 97420-2045
Phone: (541) 267-5151
Fax: (541) 266-4589
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 201500476NP-PP (OR)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence NP 17478 (CA)

Record details

NPI number1306015417
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedFebruary 22, 2008
Last updated in NPPESSeptember 22, 2016
Mailing address1900 Woodland Dr, Coos Bay, OR 97420-2045

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Icco Llc — 133 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Coos Bay