Shelly Prather, FNP in Coos Bay, OR - Medicare Nurse Practitioner

Shelly Prather, FNP is a medicare enrolled "Nurse Practitioner - Family" in Coos Bay, Oregon. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Waterfall Clinic Incorporated and her current practice location is 1900 Woodland Dr, Coos Bay, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 267-5151.

Shelly Prather is licensed to practice in Oregon (license number 202006753NP-PP) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1124657887.

Contact Information

	Shelly Prather, FNP
	1900 Woodland Dr, Coos Bay, OR 97420-2099
	(541) 267-5151
	Not Available

Map and Direction

Provider's Profile

Full Name	Shelly Prather
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	1900 Woodland Dr, Coos Bay, Oregon
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shelly Prather graduated from nursing school in 2020

NPI Data:

NPI Number: 1124657887
Provider Enumeration Date: 04/05/2020
Last Update Date: 07/15/2024

Medicare PECOS Information:

PECOS PAC ID: 5092125732
Enrollment ID: I20201106002472

Medical Identifiers

Medical identifiers for Shelly Prather such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124657887	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	202006753NP-PP (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Pacific Home Health And Hospice	Coos bay, OR	Home health agency
Bay Area Hospital	Coos bay, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Waterfall Clinic Incorporated	5698740355	18

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. Shelly Prather allows following entities to bill medicare on her behalf.

Entity Name	Waterfall Clinic Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619915113 PECOS PAC ID: 5698740355 Enrollment ID: O20040827000153

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. Shelly Prather 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 Address	Practice Location Address
Shelly Prather, FNP 1900 Woodland Dr, Coos Bay, OR 97420-2099 Ph: (541) 267-5151	Shelly Prather, FNP 1900 Woodland Dr, Coos Bay, OR 97420-2099 Ph: (541) 267-5151

Reviews and Comments

Nurse Practitioner Nurses in Coos Bay, OR

Jenny V Tausch, APRN PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 320 Central Ave Ste 212, Coos Bay, OR 97420 Phone: 401-217-9333 Fax: 541-543-2470
Mrs. Regina M Ardiana, FNPC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1775 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-8111 Fax: 541-269-8469
Angela Renee York, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151
Mrs. Shirley Deveere Reynolds, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 998 Inlet Loop, Coos Bay, OR 97420 Phone: 773-996-0242
Mitaliben Rajendrakumar Gor, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151
Diane H Todd, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 541-266-4578

Shelly Prather, FNP - Medicare Nurse Practitioner in Coos Bay, OR