| Michelle Ladonna Kelley, CNP | |
|
3377 Riverbend Dr, Springfield, OR 97477-8803 | |
| (541) 222-6389 | |
| (541) 222-6385 |
| Full Name | Michelle Ladonna Kelley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 20 Years |
| Location | 3377 Riverbend Dr, Springfield, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558443515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 201501683NP-PP (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sacred Heart Medical Center - Riverbend | Springfield, OR | Hospital |
| Salem Hospital | Salem, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peacehealth | 8527016039 | 172 |
| Salem Health | 8628986668 | 435 |
| Entity Name | Salem Health West Valley |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245237486 PECOS PAC ID: 7810804630 Enrollment ID: O20040225000830 |
| Entity Name | Salem Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265431829 PECOS PAC ID: 8628986668 Enrollment ID: O20040309001131 |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740223874 PECOS PAC ID: 8527016039 Enrollment ID: O20050111000353 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Ladonna Kelley, CNP 3377 Riverbend Dr, Springfield, OR 97477-8803 Ph: (360) 729-1253 | Michelle Ladonna Kelley, CNP 3377 Riverbend Dr, Springfield, OR 97477-8803 Ph: (541) 222-6389 |
Vivian Enyo Dzata, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2073 Olympic St, Springfield, OR 97477 Phone: 541-682-3550 Fax: 541-682-3551 | |
Mrs. Kay Ann Froemming, RN CPNP IBLC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 Q St, Springfield, OR 97477 Phone: 641-744-7121 Fax: 541-726-4104 | |
Cierra Hibbs-porter-rogge, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3377 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-8400 | |
Donna Cash, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3311 River Bend Drive, Suite 300, Springfield, OR 97477 Phone: 541-484-4332 Fax: 541-302-0786 | |
Patricia Louise Brisco, ANP, BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3355 Riverbend Dr Ste 300, Springfield, OR 97477 Phone: 541-868-9303 Fax: 541-868-9306 | |
Adina H Henderson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1435 G St, Springfield, OR 97477 Phone: 541-735-9420 Fax: 541-747-9870 | |
Alan Joseph Garcin, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3377 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-8400 Fax: 541-222-8401 |