Whitney Rachelle Coultas, - Medicare Nurse Practitioner in Medford, OR

Whitney Rachelle Coultas, is a medicare enrolled "Nurse Practitioner" in Medford, Oregon. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Nisha Jackson Inc. and her current practice location is 3265 Hillcrest Park Dr, Medford, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 275-6655.

Whitney Rachelle Coultas is licensed to practice in Oregon (license number 202111129NP-PP) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053088575.

Contact Information

Whitney Rachelle Coultas,
3265 Hillcrest Park Dr,
Medford, OR 97504-7657
(541) 275-6655
Not Available



Provider's Profile

Full NameWhitney Rachelle Coultas
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location3265 Hillcrest Park Dr, Medford, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Whitney Rachelle Coultas graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1053088575
  • Provider Enumeration Date: 08/23/2021
  • Last Update Date: 09/14/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1254739824
  • Enrollment ID: I20211012002352

Medical Identifiers

Medical identifiers for Whitney Rachelle Coultas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053088575NPI-NPPES
500798345MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 201602008RN (Oregon)Secondary
363L00000XNurse Practitioner 202111129NP-PP (Oregon)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Nisha Jackson Inc.630514774537

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Whitney Rachelle Coultas allows following entities to bill medicare on her behalf.
Entity NameNisha Jackson Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124499124
PECOS PAC ID: 6305147745
Enrollment ID: O20151209000878

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› Verified 3 days ago

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Whitney Rachelle Coultas is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Whitney Rachelle Coultas,
1355 Roxy Ann Rd,
Medford, OR 97504-8065

Ph: (541) 261-7123
Whitney Rachelle Coultas,
3265 Hillcrest Park Dr,
Medford, OR 97504-7657

Ph: (541) 275-6655

News Archive

Researchers determine mutations in RERE gene can cause many features linked with 1p36 deletions

One in 5,000 babies is born missing a small amount of genetic material from the tip of chromosome 1, a region called 1p36. Missing genes in the 1p36 region is a relatively common cause of intellectual disability.

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Read more News

› Verified 3 days ago


Nurse Practitioner Nurses in Medford, OR

Carla Ann Cochran, NP-C, FNP, AGACNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 555 Black Oak Dr., Suite 300, Medford, OR 97504
Phone: 903-463-0003    
Christine Ann Stanek, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2859 State Street, Suite 101, Medford, OR 97504
Phone: 541-282-6505    Fax: 541-282-6520
Lena Lori Varner, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 520 Medical Center Dr Ste 300, Medford, OR 97504
Phone: 541-930-8907    Fax: 541-245-4820
Mrs. Lauren E Hodgdon, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1698 E Mcandrews Rd Ste 200, Medford, OR 97504
Phone: 541-732-5537    
Kaitlin Eileen Stapleton, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2900 State St, Medford, OR 97504
Phone: 541-779-1672    
Elizabeth L Pethtel, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3170 State St, Medford, OR 97504
Phone: 541-864-8900    Fax: 541-245-3315
Matthew Filoon, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3011 E Barnett Rd, Medford, OR 97504
Phone: 541-789-4673    Fax: 541-789-2121

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