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

Susan Basilicato, NP

Individual provider General Practice Registered Nurse · NPI 1265403851

Susan Basilicato, NP is a General Practice Registered Nurse in Medford, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

1200 Mira Mar Ave
Medford, OR 97504-8546
Phone: (541) 664-5151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Registered Nurse (primary) Taxonomy 163WG0000X · Licence 07804146RN (OR)

Record details

NPI number1265403851
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJanuary 31, 2006
Last updated in NPPESNovember 26, 2007
Mailing address1208 Beall Ln, Central Point, OR 97502-1573

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