| Praxis Health, Pc | |
|
929 Sw Simpson Ave Suite 300 Bend OR 97702-3599 | |
| (541) 389-7741 | |
| (541) 278-8376 |
| Full Name | Praxis Health, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 929 Sw Simpson Ave, Bend, Oregon |
| Authorized Official Name and Position | Jessica M Reagan (REVENUE CYCLE DIRECTOR) |
| Authorized Official Contact | 5419666136 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Praxis Health, Pc Po Box 1517 Pendleton OR 97801-0410 Ph: (877) 708-1119 | Praxis Health, Pc 929 Sw Simpson Ave Suite 300 Bend OR 97702-3599 Ph: (541) 389-7741 |
| NPI Number | 1821068164 |
|---|---|
| Provider Enumeration Date | 01/26/2006 |
| Last Update Date | 12/15/2021 |
| Medicare PECOS PAC ID | 8325941446 |
|---|---|
| Medicare Enrollment ID | O20040128000241 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821068164 | NPI | - | NPPES |
| 130225 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Sandra C Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598758146 PECOS PAC ID: 0143125393 Enrollment ID: I20031202000153 |
| Provider Name | Robert L Shannon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609850254 PECOS PAC ID: 0345152633 Enrollment ID: I20031205000540 |
| Provider Name | Scott B Weber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750410221 PECOS PAC ID: 0840196374 Enrollment ID: I20031208000844 |
| Provider Name | Bryan R Conklin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346334075 PECOS PAC ID: 4688571367 Enrollment ID: I20031230000090 |
| Provider Name | Kathleen A Jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548236029 PECOS PAC ID: 7618861600 Enrollment ID: I20040211000138 |
| Provider Name | Karl Nmi Magsarili |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649222183 PECOS PAC ID: 9335034172 Enrollment ID: I20040219000510 |
| Provider Name | Bradley S Adams |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700879293 PECOS PAC ID: 5597655407 Enrollment ID: I20040330001641 |
| Provider Name | Surinder M Vasdev |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093893554 PECOS PAC ID: 8729978986 Enrollment ID: I20040429000021 |
| Provider Name | Kim M Heydon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881649705 PECOS PAC ID: 6204824055 Enrollment ID: I20040503000362 |
| Provider Name | Craigan T Griffin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407839798 PECOS PAC ID: 1850389156 Enrollment ID: I20040505000276 |
| Provider Name | Joyce M Berney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811948110 PECOS PAC ID: 1759349665 Enrollment ID: I20041223000153 |
| Provider Name | Stephen Newberry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780635961 PECOS PAC ID: 7012975923 Enrollment ID: I20041223000157 |
| Provider Name | Susan M Clack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669424917 PECOS PAC ID: 2163480070 Enrollment ID: I20041223000197 |
| Provider Name | Wendy W Hawthorne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275585069 PECOS PAC ID: 6204894132 Enrollment ID: I20041223000325 |
| Provider Name | Patrick J Mccarthy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1902881006 PECOS PAC ID: 5597715193 Enrollment ID: I20050131000644 |
| Provider Name | Michael T Lavelle |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881635779 PECOS PAC ID: 7113968934 Enrollment ID: I20050520000967 |
| Provider Name | Jeness M Christensen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376506444 PECOS PAC ID: 4284692633 Enrollment ID: I20050630000943 |
| Provider Name | Saumyajit Datta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477582195 PECOS PAC ID: 9931139078 Enrollment ID: I20050817001087 |
| Provider Name | Magha S Dissanayake |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578545182 PECOS PAC ID: 2466487541 Enrollment ID: I20050927001524 |
| Provider Name | Mary K Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154390276 PECOS PAC ID: 9234155284 Enrollment ID: I20051027000180 |
| Provider Name | Dirk A Ohling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205915691 PECOS PAC ID: 3577580729 Enrollment ID: I20051027000753 |
| Provider Name | Michael G Ryan |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1871566976 PECOS PAC ID: 3072531730 Enrollment ID: I20051110000788 |
| Provider Name | Robert E Andrews |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1609849793 PECOS PAC ID: 4082633482 Enrollment ID: I20051115000674 |
| Provider Name | Aaron E Askew |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366428401 PECOS PAC ID: 6305875220 Enrollment ID: I20051115000765 |
| Provider Name | Brett I Gingold |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124090634 PECOS PAC ID: 2163413071 Enrollment ID: I20051115000984 |
| Provider Name | Anshu Dhingra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811942733 PECOS PAC ID: 4486673282 Enrollment ID: I20051121000883 |
| Provider Name | Robert E Hollander |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366571838 PECOS PAC ID: 2567485766 Enrollment ID: I20060123000337 |
| Provider Name | Maria I Foy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932162880 PECOS PAC ID: 2264449917 Enrollment ID: I20060321000504 |
| Provider Name | Francena D Abendroth |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497760995 PECOS PAC ID: 5496763179 Enrollment ID: I20060323000116 |
| Provider Name | Mary P Manfredi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376567388 PECOS PAC ID: 0547278731 Enrollment ID: I20060329000766 |
| Provider Name | Christopher W Edwardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689667560 PECOS PAC ID: 1456256791 Enrollment ID: I20060419000045 |
| Provider Name | Jon N Swift |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1780649079 PECOS PAC ID: 6406869767 Enrollment ID: I20060803000275 |
| Provider Name | Travis L Monchamp |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1396776324 PECOS PAC ID: 2961462932 Enrollment ID: I20061003000129 |
| Provider Name | Kai Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427153238 PECOS PAC ID: 5294734737 Enrollment ID: I20061212000184 |
| Provider Name | Janel R Guyette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205990660 PECOS PAC ID: 7214994565 Enrollment ID: I20070327000380 |
| Provider Name | Leslie Cody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114008935 PECOS PAC ID: 2466558200 Enrollment ID: I20070510000496 |
| Provider Name | Sarah S Kehl |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1992835367 PECOS PAC ID: 7113027822 Enrollment ID: I20070711000045 |
| Provider Name | Harold R Harmon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518981406 PECOS PAC ID: 8527954155 Enrollment ID: I20070813000306 |
| Provider Name | Molly K Nelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578763272 PECOS PAC ID: 3577655919 Enrollment ID: I20070815000484 |
| Provider Name | Anita R Henderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588648208 PECOS PAC ID: 8224120373 Enrollment ID: I20070822000422 |
| Provider Name | Mark Hughes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528174893 PECOS PAC ID: 6608809611 Enrollment ID: I20070827000089 |
| Provider Name | Elisabeth L Jappay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538214036 PECOS PAC ID: 4688690928 Enrollment ID: I20070912000179 |
| Provider Name | Alan Howard Kaynard |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356347991 PECOS PAC ID: 0840375580 Enrollment ID: I20080305000592 |
| Provider Name | Beatrice Ann Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609939024 PECOS PAC ID: 7416027099 Enrollment ID: I20080609000594 |
| Provider Name | Jason H Friesen |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1043379860 PECOS PAC ID: 3779519210 Enrollment ID: I20080708000620 |
| Provider Name | Steven A Wahls |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467425629 PECOS PAC ID: 4284526559 Enrollment ID: I20080814000351 |
| Provider Name | Julie E Redner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588608319 PECOS PAC ID: 3678641651 Enrollment ID: I20081003000319 |
| Provider Name | Kirk Jacobson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093707366 PECOS PAC ID: 5092878058 Enrollment ID: I20090116000475 |
| Provider Name | Deborah A Loewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235136615 PECOS PAC ID: 2062493455 Enrollment ID: I20090613000020 |
| Provider Name | Jennifer L Hughes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295062263 PECOS PAC ID: 2365581600 Enrollment ID: I20091130000508 |
| Provider Name | Alice H. Chou |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1508802521 PECOS PAC ID: 7113026931 Enrollment ID: I20100309000838 |
| Provider Name | Charles P Essex |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033294053 PECOS PAC ID: 2466523287 Enrollment ID: I20100330001357 |
| Provider Name | Rashanda N Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619180668 PECOS PAC ID: 4385736958 Enrollment ID: I20100604000542 |
| Provider Name | Jeannie M Merrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346272895 PECOS PAC ID: 4587795299 Enrollment ID: I20100624000455 |
| Provider Name | Stephen J Chaffee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487647269 PECOS PAC ID: 8224160510 Enrollment ID: I20100726000043 |
| Provider Name | Jonathan C Hitzman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497741656 PECOS PAC ID: 0143379875 Enrollment ID: I20100726000878 |
| Provider Name | Jane E Mossberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568573053 PECOS PAC ID: 8527150226 Enrollment ID: I20100826000406 |
| Provider Name | Derek T Earl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538241799 PECOS PAC ID: 9032233929 Enrollment ID: I20100830000502 |
| Provider Name | Breanna L Percell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225285109 PECOS PAC ID: 6608992920 Enrollment ID: I20100923001409 |
| Provider Name | Kraig W Jacobson |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1255323515 PECOS PAC ID: 1254431448 Enrollment ID: I20101018001186 |
| Provider Name | Madeline T Lemee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679543557 PECOS PAC ID: 3577757699 Enrollment ID: I20101103000343 |
| Provider Name | Monica E Ramsey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720251291 PECOS PAC ID: 4082808878 Enrollment ID: I20101105000639 |
| Provider Name | John P Ramsey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861673667 PECOS PAC ID: 5193910982 Enrollment ID: I20101105000762 |
| Provider Name | Ronald D Carpenter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528001690 PECOS PAC ID: 0244425999 Enrollment ID: I20101109000004 |
| Provider Name | Paula J Spencer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518953975 PECOS PAC ID: 5698829562 Enrollment ID: I20101201000456 |
| Provider Name | Stephen A Mann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558341099 PECOS PAC ID: 8729118799 Enrollment ID: I20101201001176 |
| Provider Name | Ellen K Schoenfelder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306912035 PECOS PAC ID: 2769670231 Enrollment ID: I20101228000407 |
| Provider Name | John A Walker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346210994 PECOS PAC ID: 0547239543 Enrollment ID: I20110331000714 |
| Provider Name | Erin E Finter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245462894 PECOS PAC ID: 9830223353 Enrollment ID: I20110816000446 |
| Provider Name | David J Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194862417 PECOS PAC ID: 0840251740 Enrollment ID: I20111004000182 |
| Provider Name | Jessica Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891806295 PECOS PAC ID: 9436284718 Enrollment ID: I20111020000747 |
| Provider Name | Diana J Spring |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629265954 PECOS PAC ID: 1052408150 Enrollment ID: I20111028000073 |
| Provider Name | Shara M Salverda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598035925 PECOS PAC ID: 9638339542 Enrollment ID: I20120330000541 |
| Provider Name | Michael T Csaszar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699901355 PECOS PAC ID: 1557521358 Enrollment ID: I20120403000099 |
| Provider Name | Ann B Bird |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568438836 PECOS PAC ID: 7012085996 Enrollment ID: I20121128000737 |
| Provider Name | Mark Goodman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609018860 PECOS PAC ID: 2668643008 Enrollment ID: I20130215000251 |
| Provider Name | Christopher H Aichele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669621611 PECOS PAC ID: 9931262094 Enrollment ID: I20130603000612 |
| Provider Name | Margaret Scott Hayner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215091327 PECOS PAC ID: 4486606274 Enrollment ID: I20130604000465 |
| Provider Name | Aaron Hoblet |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1982768560 PECOS PAC ID: 8820252075 Enrollment ID: I20130712000174 |
| Provider Name | Gregory Ferenz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568696243 PECOS PAC ID: 6305089491 Enrollment ID: I20130820001098 |
| Provider Name | Marla S Hostetter Kropf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497792295 PECOS PAC ID: 8426950478 Enrollment ID: I20131205000937 |
| Provider Name | Julia E Balcom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194153494 PECOS PAC ID: 1557591427 Enrollment ID: I20140221000392 |
| Provider Name | Christina Farleigh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639593874 PECOS PAC ID: 4385875434 Enrollment ID: I20140402002120 |
| Provider Name | Tammy A Bull |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689678278 PECOS PAC ID: 6103059852 Enrollment ID: I20140502001117 |
| Provider Name | Carolyn K Day |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619921350 PECOS PAC ID: 1557529229 Enrollment ID: I20140707001855 |
| Provider Name | Jessica L Oltman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508113408 PECOS PAC ID: 8921256280 Enrollment ID: I20140730002731 |
| Provider Name | Jonas L Oltman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700173218 PECOS PAC ID: 6002033511 Enrollment ID: I20140806002545 |
| Provider Name | Dawn Headings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265833362 PECOS PAC ID: 3870816820 Enrollment ID: I20141223000638 |
| Provider Name | Kristina K Timmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285050062 PECOS PAC ID: 1658594809 Enrollment ID: I20141226000420 |
| Provider Name | Kristi Anne Nix |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083740187 PECOS PAC ID: 4981595154 Enrollment ID: I20150615001538 |
| Provider Name | Larissa A Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720344393 PECOS PAC ID: 7810142544 Enrollment ID: I20151029002280 |
| Provider Name | Rise Rafferty |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1912364662 PECOS PAC ID: 6608172093 Enrollment ID: I20160310002096 |
| Provider Name | Melanie A Wayne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912353657 PECOS PAC ID: 7315237849 Enrollment ID: I20160613000094 |
| Provider Name | Megan K Brassine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780046995 PECOS PAC ID: 3072807171 Enrollment ID: I20160812000901 |
| Provider Name | Judith E Steyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427047539 PECOS PAC ID: 2466492921 Enrollment ID: I20170216001382 |
| Provider Name | Maria Ann Faaeteete |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598211997 PECOS PAC ID: 8224305412 Enrollment ID: I20170518000319 |
| Provider Name | Angela O Loveless |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508099433 PECOS PAC ID: 8628116043 Enrollment ID: I20170526000942 |
| Provider Name | Jonathan Robert Bennion |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1639439862 PECOS PAC ID: 7517238215 Enrollment ID: I20170728002242 |
| Provider Name | Mackenzie I Van Loo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104348861 PECOS PAC ID: 0840561163 Enrollment ID: I20170804002162 |
| Provider Name | Keith C Olsen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1235472473 PECOS PAC ID: 0244457547 Enrollment ID: I20170823004467 |
| Provider Name | Katharine S Holmer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710402516 PECOS PAC ID: 8022382365 Enrollment ID: I20170925003018 |
| Provider Name | Ekaterina Aleksandrovna Manuylova |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831459817 PECOS PAC ID: 6103040688 Enrollment ID: I20171007000000 |
| Provider Name | Faith Renee Shinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023516614 PECOS PAC ID: 5395005599 Enrollment ID: I20180208001033 |
| Provider Name | Mallory Gail Crownover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700390721 PECOS PAC ID: 1052672565 Enrollment ID: I20180226001189 |
| Provider Name | Jeremiah W Lanford |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033230800 PECOS PAC ID: 6103926373 Enrollment ID: I20180419002700 |
| Provider Name | Keegan Mcclary |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1578983300 PECOS PAC ID: 9638494693 Enrollment ID: I20180720002087 |
| Provider Name | Jenny Elizabeth Bohrman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750778833 PECOS PAC ID: 6406106772 Enrollment ID: I20180906003076 |
| Provider Name | Micah Benjamin Naimark |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811263635 PECOS PAC ID: 6507145273 Enrollment ID: I20180920000616 |
| Provider Name | Brenda Sue Hess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962919431 PECOS PAC ID: 2365793684 Enrollment ID: I20180926002138 |
| Provider Name | Jason Nmn Prinster |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699827840 PECOS PAC ID: 1951441385 Enrollment ID: I20181031001832 |
| Provider Name | Derrek N Woodbury |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235493099 PECOS PAC ID: 1850534207 Enrollment ID: I20190103000435 |
| Provider Name | Megan M Monty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952645392 PECOS PAC ID: 9133467855 Enrollment ID: I20190205001294 |
| Provider Name | Kelly N Kahlert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740578194 PECOS PAC ID: 5698015816 Enrollment ID: I20190325001930 |
| Provider Name | Jennifer N Herr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003350505 PECOS PAC ID: 2567746787 Enrollment ID: I20190328000679 |
| Provider Name | J. Salvador De La Cruz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003174285 PECOS PAC ID: 2961649595 Enrollment ID: I20190402000609 |
| Provider Name | Robert George Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104846351 PECOS PAC ID: 1456454610 Enrollment ID: I20190604000181 |
| Provider Name | Ashley Moore Mcclary |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407296361 PECOS PAC ID: 2961708813 Enrollment ID: I20190730004263 |
| Provider Name | Derek Beeson Smith |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1346582525 PECOS PAC ID: 6406081355 Enrollment ID: I20190823001952 |
| Provider Name | Courtney Walker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154684504 PECOS PAC ID: 1557686094 Enrollment ID: I20190827001520 |
| Provider Name | Walter Paul Goebel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831400126 PECOS PAC ID: 4385882265 Enrollment ID: I20190904001049 |
| Provider Name | Gary Allen Levinson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841228228 PECOS PAC ID: 2668416520 Enrollment ID: I20190924002510 |
| Provider Name | Tiffany Vanna Quach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174054308 PECOS PAC ID: 5890127872 Enrollment ID: I20191114000428 |
| Provider Name | Anthony Daniel Dechristopher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356851067 PECOS PAC ID: 9830422369 Enrollment ID: I20191121001228 |
| Provider Name | Alison Elizabeth Freeman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235454091 PECOS PAC ID: 4981904018 Enrollment ID: I20200204002213 |
| Provider Name | John Van Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164847679 PECOS PAC ID: 5294029096 Enrollment ID: I20200210000113 |
| Provider Name | Kayla R Facundus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841784345 PECOS PAC ID: 7618305202 Enrollment ID: I20200313000593 |
| Provider Name | Ashley Aurora Sapin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831427509 PECOS PAC ID: 1951443431 Enrollment ID: I20200420002926 |
| Provider Name | Annavi Baghel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1134502180 PECOS PAC ID: 1052610201 Enrollment ID: I20200723002522 |
| Provider Name | Deborah Woodbury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912946260 PECOS PAC ID: 3779778147 Enrollment ID: I20200730003803 |
| Provider Name | Hylke Snieder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609301761 PECOS PAC ID: 3678843257 Enrollment ID: I20200803001314 |
| Provider Name | Jade Sacha Helen Edwards |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326481615 PECOS PAC ID: 6204131923 Enrollment ID: I20200803002447 |
| Provider Name | Patrick Bernard Johansing |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922495035 PECOS PAC ID: 5890008213 Enrollment ID: I20200803002498 |
| Provider Name | Paul Albert Shultz |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1295148757 PECOS PAC ID: 5092018754 Enrollment ID: I20200824001855 |
| Provider Name | Cami Ann Bean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902251291 PECOS PAC ID: 8123447117 Enrollment ID: I20200924000769 |
| Provider Name | Liya Milgram |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063822575 PECOS PAC ID: 8426354267 Enrollment ID: I20200925001204 |
| Provider Name | Jadie Dolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124640842 PECOS PAC ID: 5395164578 Enrollment ID: I20201008000342 |
| Provider Name | Alex W Rodighiero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205457702 PECOS PAC ID: 1052731239 Enrollment ID: I20201009001771 |
| Provider Name | Stephanie Jean Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861034605 PECOS PAC ID: 3971939711 Enrollment ID: I20201014003742 |
| Provider Name | Kara Nicole Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427324342 PECOS PAC ID: 4183990518 Enrollment ID: I20201110002788 |
| Provider Name | Lindsey M Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174064802 PECOS PAC ID: 3577818756 Enrollment ID: I20201111001383 |
| Provider Name | Dana Marie Hampton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700484631 PECOS PAC ID: 4587074026 Enrollment ID: I20201111002875 |
| Provider Name | Hannah Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346785656 PECOS PAC ID: 3375827017 Enrollment ID: I20201214000687 |
| Provider Name | Erin Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770182677 PECOS PAC ID: 9234541319 Enrollment ID: I20201214002618 |
| Provider Name | James Roland Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912509829 PECOS PAC ID: 3971917212 Enrollment ID: I20210128001436 |
| Provider Name | Nicole Marie Delimont |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790064731 PECOS PAC ID: 7719144526 Enrollment ID: I20210408001225 |
| Provider Name | Taylor Jayne Case |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366802837 PECOS PAC ID: 0840608394 Enrollment ID: I20210421002051 |
| Provider Name | Abby Lyn Ehntholt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871969022 PECOS PAC ID: 8022306281 Enrollment ID: I20210503000631 |
| Provider Name | Abdulrahman Rahim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558723825 PECOS PAC ID: 3577812007 Enrollment ID: I20210512001884 |
| Provider Name | Rachel Brown |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154775435 PECOS PAC ID: 2860784717 Enrollment ID: I20210622001390 |
| Provider Name | Mollie Isabella Ebner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730543034 PECOS PAC ID: 5193146041 Enrollment ID: I20210702002049 |
| Provider Name | Spencer Pellicano Larson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508363045 PECOS PAC ID: 3678975257 Enrollment ID: I20210706002775 |
| Provider Name | Theodore John Prier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780889261 PECOS PAC ID: 3971658071 Enrollment ID: I20210928000748 |
| Provider Name | Amanda L Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306460647 PECOS PAC ID: 2062810948 Enrollment ID: I20211006003093 |
| Provider Name | Zachary David Willmarth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730720772 PECOS PAC ID: 2567896889 Enrollment ID: I20211012000959 |
| Provider Name | James Fredrick Ciomber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548932064 PECOS PAC ID: 8527459874 Enrollment ID: I20211222000665 |
| Provider Name | Katryn Little |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447430079 PECOS PAC ID: 4183011869 Enrollment ID: I20220427001965 |
| Provider Name | Kara M Prier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164614632 PECOS PAC ID: 6608947890 Enrollment ID: I20220509001506 |
| Provider Name | Alan G.y. Chang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255398285 PECOS PAC ID: 7719963230 Enrollment ID: I20220722002400 |
| Provider Name | Jason F Flamiatos |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1942633805 PECOS PAC ID: 2062782071 Enrollment ID: I20220725002628 |
| Provider Name | Camelia Mayfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457765612 PECOS PAC ID: 5890177737 Enrollment ID: I20220809001672 |
| Provider Name | Tanya Louise Fresquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841935848 PECOS PAC ID: 6103209879 Enrollment ID: I20220812000466 |
| Provider Name | Robert X Fu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528623105 PECOS PAC ID: 3870827371 Enrollment ID: I20220818000916 |
| Provider Name | Joyce Koh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144480484 PECOS PAC ID: 3971752635 Enrollment ID: I20220819001289 |
| Provider Name | Katheryn Elizabeth Birch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518490226 PECOS PAC ID: 7517342421 Enrollment ID: I20220913003099 |
| Provider Name | Lisa Field |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841910783 PECOS PAC ID: 0648655431 Enrollment ID: I20220914002834 |
| Provider Name | Quinn A Rufsvold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366000846 PECOS PAC ID: 4284969908 Enrollment ID: I20220920001542 |
| Provider Name | Adam Lindsay |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811371669 PECOS PAC ID: 1850656919 Enrollment ID: I20221010002755 |
| Provider Name | Willem O Speed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427510148 PECOS PAC ID: 7719305267 Enrollment ID: I20221010003371 |
| Provider Name | Edward Joseph Kent |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457766040 PECOS PAC ID: 5698028611 Enrollment ID: I20221014003026 |
| Provider Name | Emma Grace Rattazzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437201126 PECOS PAC ID: 0749367753 Enrollment ID: I20221107003051 |
| Provider Name | Loveleen K Brar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083321764 PECOS PAC ID: 6507236064 Enrollment ID: I20221228001915 |
| Provider Name | Willie Underwood |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831136829 PECOS PAC ID: 5496771495 Enrollment ID: I20230111001726 |
| Provider Name | Matthew J Thompson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326330580 PECOS PAC ID: 2466690466 Enrollment ID: I20230127001790 |
| Provider Name | Peter Andrew Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477266385 PECOS PAC ID: 0244601235 Enrollment ID: I20230131000655 |
| Provider Name | Jeffrey Mitchell Blackmon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710901996 PECOS PAC ID: 0446291314 Enrollment ID: I20230321000952 |
| Provider Name | Sarah E Klimek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497491914 PECOS PAC ID: 5698132264 Enrollment ID: I20230613002328 |
| Provider Name | Rachael Bailey Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548672371 PECOS PAC ID: 6608148598 Enrollment ID: I20230721003325 |
| Provider Name | Amal H Alyusuf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902428428 PECOS PAC ID: 9335567759 Enrollment ID: I20230815001861 |
| Provider Name | Maxwell Yisheng Li |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1114284015 PECOS PAC ID: 8022325984 Enrollment ID: I20230815004314 |
| Provider Name | Michael K Espino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598393803 PECOS PAC ID: 7012331192 Enrollment ID: I20230912002630 |
| Provider Name | Joshua James Little |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346746393 PECOS PAC ID: 1456707306 Enrollment ID: I20231027003115 |
| Provider Name | Joseph Justus Stanger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649783176 PECOS PAC ID: 7618324849 Enrollment ID: I20231109003076 |
| Provider Name | Mckenzie Shikel Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639952930 PECOS PAC ID: 4789034364 Enrollment ID: I20231221003779 |
| Provider Name | Ashley Elizabeth Wiersma |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235646209 PECOS PAC ID: 0941561492 Enrollment ID: I20240108005080 |
| Provider Name | Victoria Anne Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841733706 PECOS PAC ID: 2860776333 Enrollment ID: I20240130002712 |
| Provider Name | Henry Raphael Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518005107 PECOS PAC ID: 5991877243 Enrollment ID: I20240221000762 |
Pine Springs Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 711 Ne Irving Ave, Bend, OR 97701 Phone: 541-480-2827 | |
St. Charles Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-382-4321 | |
Mosaic Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2577 Ne Courtney Dr Ste 100, Bend, OR 97701 Phone: 541-383-3005 | |
Adam Derr, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 528 Ne Greenwood Ave, Bend, OR 97701 Phone: 541-385-7890 Fax: 541-388-2606 | |
Driven Enterprises Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20700 Wandalea Dr, Bend, OR 97701 Phone: 435-669-2930 | |
Bend Plastic Surgery Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1239 Ne Medical Center Dr Ste 240, Bend, OR 97701 Phone: 541-749-2282 Fax: 541-749-2283 | |
St. Charles Immediate Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 Ne Neff Rd, Bend, OR 97701 Phone: 541-706-3700 Fax: 541-706-3730 |