| Raeann Laura Nesta, CNM | |
| 3100 Martin Luther King Jr Pkwy, Springfield, OR 97477-7514 | |
| (541) 868-9700 | |
| (541) 485-7392 | 
| Full Name | Raeann Laura Nesta | 
|---|---|
| Gender | Female | 
| Speciality | Advanced Practice Midwife | 
| Location | 3100 Martin Luther King Jr Pkwy, Springfield, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1104597855 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 202214126NP-PP (Oregon) | Primary | 
| 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 | Womens Care Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1144250044 PECOS PAC ID: 8820986458 Enrollment ID: O20040305001026 | 
| Entity Name | Mckenzie Physician Services Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1316909054 PECOS PAC ID: 1254307994 Enrollment ID: O20040903000766 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Raeann Laura Nesta, CNM Po Box 70368, Springfield, OR 97475-0120 Ph: (541) 485-2777 | Raeann Laura Nesta, CNM 3100 Martin Luther King Jr Pkwy, Springfield, OR 97477-7514 Ph: (541) 868-9700 | 
| Elizabeth Gardziola, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 188 W B St Ste O, Springfield, OR 97477 Phone: 458-234-6800 | |
| Laura L Zitzer, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 353 Deadmond Ferry Rd, Springfield, OR 97477 Phone: 541-222-7750 Fax: 541-338-1079 | |
| Leona Lesko, DNP Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 188 W B St Ste O, Springfield, OR 97477 Phone: 458-234-6800 | |
| Crystal Massey, CNM,NP Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2500 Centennial Blvd, Springfield, OR 97477 Phone: 541-510-5155 | |
| Dawn Marten, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 890 Beltline Rd, Springfield, OR 97477 Phone: 541-515-6556 | |
| Kanya Noel Delpozzo, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 353 Deadmond Ferry Rd, Springfield, OR 97477 Phone: 541-222-7750 |