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

MS. Sophia Kennen Giacomelli

Individual provider Nurse Practitioner · NPI 1124736764

MS. Sophia Kennen Giacomelli is a Nurse Practitioner in Medford, Oregon. Graduated from Oregon Health Sciences University School of Medicine in 2025, 1 year ago. Practices with La Clinica Del Valle Family Health Care Center Inc, a 61-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
1
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
OR
In the registry since
2022
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Practice location Address checks out

3617 S Pacific Hwy
Medford, OR 97501-8957
Phone: (541) 535-6239
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 638 Market St, Medford, OR 97504-6126 — (541) 535-6239

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 10048417 (OR)

Record details

NPI number1124736764
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 14, 2022
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice La Clinica Del Valle Family Health Care Center Inc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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