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

Mark Pequignot, DNP, FNP

Individual provider Family Nurse Practitioner · NPI 1770272148

Mark Pequignot, DNP, FNP is a Nurse Practitioner in Roseburg, Oregon. Qualified in 2022, 4 years ago. Practices with Nisha Jackson Inc, a 44-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
4
Licensed in
OR
In the registry since
2023
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1700 NW Garden Valley Blvd Ste 201
Roseburg, OR 97471-1636
Phone: (541) 236-9246
Fax: (541) 464-0789
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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 10010332 (OR)

Record details

NPI number1770272148
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP , FNP
Sole proprietorYes
NPI enumeratedMay 2, 2023
Last updated in NPPESMarch 1, 2024
Certification dateMarch 1, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Nisha Jackson Inc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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