MARK L. VAN OVER FNP NPI 1306015417

NPI Information

  • NPI: 1306015417
  • Provider Name: MARK L. VAN OVER, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1900 WOODLAND DR
    COOS BAY, OR
    ZIP 97420
  • Phone: (541) 267-5151

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NPI Details

Mark L. Van Over, FNP is a family nurse practitioner in Coos Bay, OR with 19 years of experience. Mark L. Van Over, FNP NPI is 1306015417. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1900 WOODLAND DR
COOS BAY, OR
ZIP 97420-045
Phone: (541) 267-5151
Fax: (541) 266-4589

The NPI 1306015417 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg (HCPCS:J7613)
  • Automated urinalysis test (HCPCS:81003)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Inhalation treatment for airway obstruction or sputum production (HCPCS:94640)
  • Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme (HCPCS:J7620)
  • Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) (HCPCS:87880)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)

The enumeration date for this NPI number is 2/22/2008 and was last updated on 9/22/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyNP 17478CALIFORNIANo
2363LF0000XNurse PractitionerFamily201500476NP-PPOREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11407812365OTHEROREGONNORTH BEND MEDICAL CENTER GROUP NPI
2161133OTHEROREGONNORTH BEND MEDICAL CENTER GROUP MEDICAID
3500712548MEDICAIDOREGON
4R0000WFBTVOTHEROREGONNORTH BEND MEDICAL CENTER GROUP MEDICARE
5R189597MEDICARE PINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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