| Mrs Kelsey Marie Conklin, RN, FNP | |
|
865 Sw Veterans Way, Redmond, OR 97756-2583 | |
| (541) 382-4900 | |
| Not Available |
| Full Name | Mrs Kelsey Marie Conklin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 865 Sw Veterans Way, Redmond, 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 |
|---|---|---|---|
| 1801255120 | NPI | - | NPPES |
| 500706302 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WE0003X | Registered Nurse - Emergency | 201041816RN (Oregon) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 201505842NP-PP (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Legacy Meridian Park Medical Center | Tualatin, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Clinics Llc | 0244144004 | 635 |
| Legacy Meridian Park Hospital | 5092609842 | 93 |
| Entity Name | Legacy Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
| Entity Name | Legacy Good Samaritan Hospital And Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780608216 PECOS PAC ID: 0547179939 Enrollment ID: O20031125000416 |
| Entity Name | Legacy Emanuel Hospital & Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831112358 PECOS PAC ID: 4587573639 Enrollment ID: O20040127001204 |
| Entity Name | Silverton Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669424354 PECOS PAC ID: 8921901877 Enrollment ID: O20040129000172 |
| Entity Name | Legacy Meridian Park Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184647620 PECOS PAC ID: 5092609842 Enrollment ID: O20040211001181 |
| Entity Name | Legacy Mount Hood Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386919132 PECOS PAC ID: 3173515996 Enrollment ID: O20040401000550 |
| Entity Name | Bend Memorial Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699827477 PECOS PAC ID: 7214936533 Enrollment ID: O20061215000022 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kelsey Marie Conklin, RN, FNP Po Box 6048, Bend, OR 97708-6048 Ph: (541) 382-4900 | Mrs Kelsey Marie Conklin, RN, FNP 865 Sw Veterans Way, Redmond, OR 97756-2583 Ph: (541) 382-4900 |
Jessica Rae Gniadek, PMHNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 7515 Falcon Crest Dr # 200, Redmond, OR 97756 Phone: 541-904-5216 Fax: 541-527-4347 | |
Lorelei Mcmillian, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1245 Nw 4th St Ste 201, Redmond, OR 97756 Phone: 541-323-4545 Fax: 541-323-4546 | |
Laura Jean Cheshire, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 218 Sw 4th St, Redmond, OR 97756 Phone: 541-508-9523 | |
Brittney Gillyard, PMHNP-BC, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7515 Falcon Crest Dr # 200, Redmond, OR 97756 Phone: 541-904-5216 Fax: 541-527-4347 | |
Jessica Walsh, MSN, APRN, CNM Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 340 Nw 5th St, Redmond, OR 97756 Phone: 541-526-6635 Fax: 541-526-6636 | |
Justin P Dennery, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 676 Ne Maple Ave, Redmond, OR 97756 Phone: 602-570-1237 | |
Amy B Mcelroy, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 Nw 5th St, Suite 101, Redmond, OR 97756 Phone: 541-526-6635 Fax: 541-526-6636 |