Candie Marie Keller, MSN, APRN, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Coquille, Oregon. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice North Bend Medical Center Inc and her current practice location is
790 E 5th St, Coquille, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 396-7295.
Candie Marie Keller is licensed to practice in Oregon (license number 10024862) 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 1801636600.
Provider's Profile
| Full Name | Candie Marie Keller |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 790 E 5th St, Coquille, Oregon |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Candie Marie Keller graduated from nursing school in 2024
NPI Data:
- NPI Number: 1801636600
- Provider Enumeration Date: 05/29/2024
- Last Update Date: 03/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 0446792873
- Enrollment ID: I20240612003618
Medical Identifiers
Medical identifiers for Candie Marie Keller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1801636600 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 10024862 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| North Bend Medical Center Inc | 5597677716 | 80 |
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. Candie Marie Keller allows following entities to bill medicare on her behalf.
| Entity Name | North Bend Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407812365
PECOS PAC ID: 5597677716
Enrollment ID: O20031105000138 |
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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. Candie Marie Keller 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 |
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Candie Marie Keller, MSN, APRN, NP-C
790 E 5th St,
Coquille, OR 97423-1755
Ph: (541) 396-7295 | Candie Marie Keller, MSN, APRN, NP-C
790 E 5th St,
Coquille, OR 97423-1755
Ph: (541) 396-7295 |
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