| 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 |
| Certification 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 | () | Primary |
| Provider Name | Bryan R Conklin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346334075 PECOS PAC ID: 4688571367 Enrollment ID: I20031230000090 |
| Provider Name | Karl Nmi Magsarili |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649222183 PECOS PAC ID: 9335034172 Enrollment ID: I20040219000510 |
| Provider Name | Eduardo R Valenzuela |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760420376 PECOS PAC ID: 8325930431 Enrollment ID: I20040325000571 |
| Provider Name | Jamie J Freeman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396753257 PECOS PAC ID: 7214928936 Enrollment ID: I20040521000095 |
| Provider Name | Eric J Moen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285651752 PECOS PAC ID: 2567442650 Enrollment ID: I20040721000015 |
| 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 | Theodore Nyquist |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609972926 PECOS PAC ID: 3870541527 Enrollment ID: I20050110000284 |
| Provider Name | Magha S Dissanayake |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578545182 PECOS PAC ID: 2466487541 Enrollment ID: I20050927001524 |
| Provider Name | Toni J Feist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780660589 PECOS PAC ID: 3375560758 Enrollment ID: I20051025000675 |
| Provider Name | Dirk a Ohling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205915691 PECOS PAC ID: 3577580729 Enrollment ID: I20051027000753 |
| Provider Name | Anshu Dhingra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811942733 PECOS PAC ID: 4486673282 Enrollment ID: I20051121000883 |
| Provider Name | Theresa J Curran |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871535021 PECOS PAC ID: 3375564271 Enrollment ID: I20051207000543 |
| Provider Name | Maria I Foy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932162880 PECOS PAC ID: 2264449917 Enrollment ID: I20060321000504 |
| Provider Name | Julia L Pulliam |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992761183 PECOS PAC ID: 7618986621 Enrollment ID: I20060419000035 |
| Provider Name | Christopher W Edwardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689667560 PECOS PAC ID: 1456256791 Enrollment ID: I20060419000045 |
| Provider Name | Travis L Monchamp |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1396776324 PECOS PAC ID: 2961462932 Enrollment ID: I20061003000129 |
| Provider Name | Ashley P Hyder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962416008 PECOS PAC ID: 9133125594 Enrollment ID: I20061009000326 |
| Provider Name | Kai Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427153238 PECOS PAC ID: 5294734737 Enrollment ID: I20061212000184 |
| Provider Name | Sarah S Kehl |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1992835367 PECOS PAC ID: 7113027822 Enrollment ID: I20070711000045 |
| Provider Name | Anita R Henderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588648208 PECOS PAC ID: 8224120373 Enrollment ID: I20070822000422 |
| Provider Name | Damian E Jorgensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093700171 PECOS PAC ID: 4688575202 Enrollment ID: I20071205000369 |
| Provider Name | Jason H Friesen |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1043379860 PECOS PAC ID: 3779519210 Enrollment ID: I20080708000620 |
| 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 | Jeffrey William Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063428951 PECOS PAC ID: 6901934918 Enrollment ID: I20100512001022 |
| 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 | Jon M Winjum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730156639 PECOS PAC ID: 3072504158 Enrollment ID: I20100716000186 |
| Provider Name | Christopher R Eilersen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700853652 PECOS PAC ID: 7618968793 Enrollment ID: I20100716000206 |
| Provider Name | Stephen J Chaffee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487647269 PECOS PAC ID: 8224160510 Enrollment ID: I20100726000043 |
| Provider Name | Bonnie Marie Dittmann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114244498 PECOS PAC ID: 4486778859 Enrollment ID: I20100908000305 |
| Provider Name | Ashley CW Cooley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922323971 PECOS PAC ID: 6507981925 Enrollment ID: I20100908001057 |
| 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 Patrick Ramsey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861673667 PECOS PAC ID: 5193910982 Enrollment ID: I20101105000762 |
| Provider Name | Melissa M Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144533480 PECOS PAC ID: 1456532035 Enrollment ID: I20110302000640 |
| Provider Name | Sonja L Skovsted |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992021059 PECOS PAC ID: 7012185358 Enrollment ID: I20110712000701 |
| Provider Name | Jessica Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891806295 PECOS PAC ID: 9436284718 Enrollment ID: I20111020000747 |
| Provider Name | Michael T Csaszar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699901355 PECOS PAC ID: 1557521358 Enrollment ID: I20120403000099 |
| Provider Name | Donald E Winder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336411636 PECOS PAC ID: 1658532932 Enrollment ID: I20120412000634 |
| Provider Name | Ann B Bird |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568438836 PECOS PAC ID: 7012085996 Enrollment ID: I20121128000737 |
| Provider Name | Monica R Giamellaro |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487855763 PECOS PAC ID: 8628160009 Enrollment ID: I20121211000306 |
| Provider Name | Serena a Luce |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821067489 PECOS PAC ID: 8820009863 Enrollment ID: I20121219000545 |
| 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 | Gregory J Ferenz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568696243 PECOS PAC ID: 6305089491 Enrollment ID: I20130820001098 |
| Provider Name | Kara N Wilcox |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487867081 PECOS PAC ID: 0941435143 Enrollment ID: I20131024000218 |
| 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 | Danielle Kathryn Addleman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669745469 PECOS PAC ID: 2062640261 Enrollment ID: I20140115001407 |
| Provider Name | Julia E Balcom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194153494 PECOS PAC ID: 1557591427 Enrollment ID: I20140221000392 |
| Provider Name | Aaron M Lee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255769667 PECOS PAC ID: 6800026154 Enrollment ID: I20140305002049 |
| Provider Name | Whitney K Drew |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376886895 PECOS PAC ID: 6204057243 Enrollment ID: I20141016001352 |
| Provider Name | Jacqueline E Brown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417390949 PECOS PAC ID: 3375867112 Enrollment ID: I20150126002181 |
| Provider Name | Christine Rue |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821339862 PECOS PAC ID: 2567787187 Enrollment ID: I20150202001424 |
| Provider Name | Larissa a Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720344393 PECOS PAC ID: 7810142544 Enrollment ID: I20151029002280 |
| Provider Name | Nicholas a Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982014049 PECOS PAC ID: 7911208160 Enrollment ID: I20151214001245 |
| Provider Name | Elysia Mae Churchman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578921003 PECOS PAC ID: 6608172408 Enrollment ID: I20160303002117 |
| Provider Name | Chloe K Norris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104170489 PECOS PAC ID: 7810141413 Enrollment ID: I20160516001469 |
| 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 | Alyssa Rachelle Rollins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225569395 PECOS PAC ID: 1456637719 Enrollment ID: I20170421000384 |
| Provider Name | Jill a Parkin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437687357 PECOS PAC ID: 1850660309 Enrollment ID: I20170627001691 |
| Provider Name | Heather Helms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326230129 PECOS PAC ID: 5698869600 Enrollment ID: I20170727003442 |
| Provider Name | Keith C Olsen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1235472473 PECOS PAC ID: 0244457547 Enrollment ID: I20170823004467 |
| Provider Name | Ekaterina Aleksandrovna Manuylova |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831459817 PECOS PAC ID: 6103040688 Enrollment ID: I20171007000000 |
| Provider Name | Keith M Best |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336514611 PECOS PAC ID: 1052678893 Enrollment ID: I20171201002423 |
| 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 | 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 | Eric Luther Sorenson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538666268 PECOS PAC ID: 3577802685 Enrollment ID: I20190307002872 |
| Provider Name | Alicia J Hicks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578714986 PECOS PAC ID: 3173682879 Enrollment ID: I20190314001552 |
| Provider Name | Jose 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 | Melanie L Anthony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811470149 PECOS PAC ID: 0042547002 Enrollment ID: I20190814000317 |
| Provider Name | Walter Paul Goebel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831400126 PECOS PAC ID: 4385882265 Enrollment ID: I20190904001049 |
| Provider Name | Meredith Ryan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992352892 PECOS PAC ID: 8426481896 Enrollment ID: I20191126001408 |
| Provider Name | Miriam M Kirse |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013409135 PECOS PAC ID: 9133552342 Enrollment ID: I20191202001884 |
| Provider Name | John Van Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164847679 PECOS PAC ID: 5294029096 Enrollment ID: I20200210000113 |
| 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 | Ashley Ann Cook |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861877169 PECOS PAC ID: 6103133590 Enrollment ID: I20200915002737 |
| 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 | Kara Nicole Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427324342 PECOS PAC ID: 4183990518 Enrollment ID: I20201110002788 |
| Provider Name | Lindsey Campbell Gustafson |
|---|---|
| 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 | Scott Makenzie Plants |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801376215 PECOS PAC ID: 7416389762 Enrollment ID: I20210315001285 |
| Provider Name | Emily Louise Tracy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649871518 PECOS PAC ID: 3375959463 Enrollment ID: I20210316001287 |
| Provider Name | Abdulrahman Rahim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558723825 PECOS PAC ID: 3577812007 Enrollment ID: I20210512001884 |
| Provider Name | Taylor Jay Higlin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194310052 PECOS PAC ID: 6901215458 Enrollment ID: I20210512003293 |
| Provider Name | Loretta Lynn Church |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982168415 PECOS PAC ID: 0042551640 Enrollment ID: I20210603003288 |
| Provider Name | Mollie Isabella Ebner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730543034 PECOS PAC ID: 5193146041 Enrollment ID: I20210702002049 |
| Provider Name | Sarah S Butts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306224761 PECOS PAC ID: 6002175643 Enrollment ID: I20211004002705 |
| Provider Name | Zachary David Willmarth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730720772 PECOS PAC ID: 2567896889 Enrollment ID: I20211012000959 |
| Provider Name | Anantha Poojitha Jujjuri |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548922545 PECOS PAC ID: 3173921582 Enrollment ID: I20211014001408 |
| Provider Name | Dennis G Polzin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447757885 PECOS PAC ID: 1557751997 Enrollment ID: I20211129002440 |
| Provider Name | Shelby L Mulrennan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023775178 PECOS PAC ID: 5395138879 Enrollment ID: I20220204000960 |
| Provider Name | Brooke Caroline Collins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871071373 PECOS PAC ID: 1658764071 Enrollment ID: I20220208001380 |
| Provider Name | Amy Kathleen Whitsa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487322921 PECOS PAC ID: 6608260963 Enrollment ID: I20220302001562 |
| Provider Name | Claire Marie Exum |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053952648 PECOS PAC ID: 2062807647 Enrollment ID: I20220317000868 |
| Provider Name | Courtney J Van Valkenburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891249637 PECOS PAC ID: 7911286729 Enrollment ID: I20220421001741 |
| Provider Name | Jesse David Winslow Russell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659040590 PECOS PAC ID: 5092193144 Enrollment ID: I20220602001339 |
| Provider Name | Robert X Fu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528623105 PECOS PAC ID: 3870827371 Enrollment ID: I20220818000916 |
| Provider Name | Katie Marie Lahusen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336601483 PECOS PAC ID: 7517392319 Enrollment ID: I20220818002919 |
| Provider Name | Esther Lehmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376101261 PECOS PAC ID: 4385028547 Enrollment ID: I20220907002269 |
| Provider Name | Katheryn Elizabeth Birch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518490226 PECOS PAC ID: 7517342421 Enrollment ID: I20220913003099 |
| Provider Name | Quinn a Rufsvold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366000846 PECOS PAC ID: 4284969908 Enrollment ID: I20220920001542 |
| Provider Name | Willem O Speed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427510148 PECOS PAC ID: 7719305267 Enrollment ID: I20221010003371 |
| Provider Name | Mckayla Brooke Pollard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952995763 PECOS PAC ID: 1658740600 Enrollment ID: I20221213003166 |
| Provider Name | Paul Sholar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528593746 PECOS PAC ID: 5395114961 Enrollment ID: I20221214000687 |
| Provider Name | Tashina Louise Blair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952079931 PECOS PAC ID: 1153790886 Enrollment ID: I20221219002820 |
| Provider Name | Donna Marie Linton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962914176 PECOS PAC ID: 3678832060 Enrollment ID: I20230124002376 |
| Provider Name | Peter Andrew Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477266385 PECOS PAC ID: 0244601235 Enrollment ID: I20230131000655 |
| Provider Name | Jennifer Marie Grant |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144497736 PECOS PAC ID: 4981883618 Enrollment ID: I20230313000626 |
| 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 Klimek Denu |
|---|---|
| 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 | Mckenzie Shikel Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639952930 PECOS PAC ID: 4789034364 Enrollment ID: I20231221003779 |
| Provider Name | Victoria Anne Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841733706 PECOS PAC ID: 2860776333 Enrollment ID: I20240130002712 |
| Provider Name | Virginia Slaughter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336625078 PECOS PAC ID: 4284985946 Enrollment ID: I20240214002707 |
| Provider Name | Henry Raphael Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518005107 PECOS PAC ID: 5991877243 Enrollment ID: I20240221000762 |
| Provider Name | Jacqueline W Mbugua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568149672 PECOS PAC ID: 0547606055 Enrollment ID: I20240306003953 |
| Provider Name | Erin Kendall Storck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023736139 PECOS PAC ID: 0143668699 Enrollment ID: I20240403003072 |
| Provider Name | Amy B Margolis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144292582 PECOS PAC ID: 4789580085 Enrollment ID: I20240415001198 |
| Provider Name | Jamie Rose Dickenson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578322251 PECOS PAC ID: 1254772205 Enrollment ID: I20240508003626 |
| Provider Name | Heather Claffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659115228 PECOS PAC ID: 5496299265 Enrollment ID: I20240703002225 |
| Provider Name | Ginger Wey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063661833 PECOS PAC ID: 9133375843 Enrollment ID: I20240813004362 |
| Provider Name | Isabela Torregrosa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376373928 PECOS PAC ID: 3274074133 Enrollment ID: I20240918003245 |
| Provider Name | Carmella L Fullenwider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598508640 PECOS PAC ID: 2668903972 Enrollment ID: I20240926004154 |
| Provider Name | Maren Parkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730927963 PECOS PAC ID: 6305374380 Enrollment ID: I20250106000810 |
| Provider Name | Savannah Marie Sparkes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427825405 PECOS PAC ID: 9931637063 Enrollment ID: I20250116002332 |
| Provider Name | Jennah Shae Stobie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821774654 PECOS PAC ID: 5294263364 Enrollment ID: I20250116004002 |
| Provider Name | Joshua Brooks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699400671 PECOS PAC ID: 2163951112 Enrollment ID: I20250121003026 |
| Provider Name | Thomas Balcom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316766637 PECOS PAC ID: 8224568613 Enrollment ID: I20250214002226 |
| Provider Name | Margot Hillary Underwood |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508859968 PECOS PAC ID: 9537252143 Enrollment ID: I20250218003208 |
| Provider Name | Julia Brant |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760254924 PECOS PAC ID: 2466972609 Enrollment ID: I20250219000499 |
| Provider Name | Melanie Anne Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750999470 PECOS PAC ID: 3375063035 Enrollment ID: I20250225001419 |
| Provider Name | Gillette Knirk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972375319 PECOS PAC ID: 4082134556 Enrollment ID: I20250227001475 |
| Provider Name | Kayla Ann Marcoulier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497568034 PECOS PAC ID: 5496271264 Enrollment ID: I20250424003262 |
| Provider Name | Aubrey Koski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699414136 PECOS PAC ID: 2365827219 Enrollment ID: I20250509000821 |
| Provider Name | Graeme Marquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245801588 PECOS PAC ID: 4789052614 Enrollment ID: I20250519003082 |
| Provider Name | Cody Sellers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346942380 PECOS PAC ID: 1355703455 Enrollment ID: I20250717003512 |
| Provider Name | Dominic Klosowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265162168 PECOS PAC ID: 2860908258 Enrollment ID: I20250722003967 |
| Provider Name | Adam Robert Litster |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720708886 PECOS PAC ID: 2860863016 Enrollment ID: I20250723001690 |
| Provider Name | Kenna Nicole Cardin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538903901 PECOS PAC ID: 7416464193 Enrollment ID: I20250728002767 |
| Provider Name | Jarin R Loveday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528860236 PECOS PAC ID: 1153839899 Enrollment ID: I20250804002018 |
| Provider Name | Amro Elgeziry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144963240 PECOS PAC ID: 9133507668 Enrollment ID: I20250808002062 |
| Provider Name | Siva Kamal Guntupalli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619602711 PECOS PAC ID: 4587162193 Enrollment ID: I20250813000352 |
| Provider Name | William Boyce Cates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508443110 PECOS PAC ID: 9436533601 Enrollment ID: I20250826004810 |
| Provider Name | Kellen Franklyn Mandehr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457097966 PECOS PAC ID: 5395124721 Enrollment ID: I20250828001187 |
| Provider Name | Kira Cynthia Biboux |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891687406 PECOS PAC ID: 7214431964 Enrollment ID: I20250917000817 |
| Provider Name | Rajiv Wadhwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750650974 PECOS PAC ID: 6406013002 Enrollment ID: I20250929002644 |
| Provider Name | Nicholas K Sweet |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013375567 PECOS PAC ID: 9032586029 Enrollment ID: I20250929003459 |
| Provider Name | Megan Haughton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629620240 PECOS PAC ID: 6608278700 Enrollment ID: I20251013001398 |
| Provider Name | Zachariah Garney |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1114774593 PECOS PAC ID: 3971020868 Enrollment ID: I20251212000716 |
| Provider Name | Janelle Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134150006 PECOS PAC ID: 2062577083 Enrollment ID: I20260114002656 |
| Provider Name | Kristin Donnelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932875002 PECOS PAC ID: 4587060918 Enrollment ID: I20260204000910 |
| Provider Name | Branson Worthen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073471256 PECOS PAC ID: 1456831510 Enrollment ID: I20260217002363 |
| Provider Name | Dehanna Lyn Gascon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982575908 PECOS PAC ID: 7214954783 Enrollment ID: I20260218003476 |
| Provider Name | Emily Ga Pui Wong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780422147 PECOS PAC ID: 6305327628 Enrollment ID: I20260225001987 |
| Provider Name | Katia Lena Krane |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316767676 PECOS PAC ID: 7012490527 Enrollment ID: I20260312003262 |
| Provider Name | Addison Deboer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679394126 PECOS PAC ID: 4688159395 Enrollment ID: I20260331002566 |
| Provider Name | Bevan Schroeder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922828268 PECOS PAC ID: 9234614868 Enrollment ID: I20260331003659 |
Pine Springs Health LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 711 Ne Irving Ave, Bend, OR 97701 Phone: 541-330-9110 |
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 |
Domani Medical LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 685 Se 3rd St, Bend, OR 97702 Phone: 541-516-4099 |
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 |