| Caldera Family Medicine | |
|
2564 Ne Courtney Dr. Bend OR 97701-7700 | |
| (541) 678-5277 | |
| (541) 678-5277 |
| Full Name | Caldera Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 2564 Ne Courtney Dr., Bend, Oregon |
| Authorized Official Name and Position | Misty Levens (CEO/PRESIDENT/CO-OWNER/) |
| Authorized Official Contact | 5416785277 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caldera Family Medicine 2564 Ne Courtney Dr Bend OR 97701-7638 Ph: (541) 678-5277 | Caldera Family Medicine 2564 Ne Courtney Dr. Bend OR 97701-7700 Ph: (541) 678-5277 |
| NPI Number | 1700106986 |
|---|---|
| Provider Enumeration Date | 06/10/2010 |
| Last Update Date | 05/05/2026 |
| Certification Date | 05/05/2026 |
| Medicare PECOS PAC ID | 5991993875 |
|---|---|
| Medicare Enrollment ID | O20101218000074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700106986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
| Provider Name | Kirsten a Heron |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083685408 PECOS PAC ID: 5597725648 Enrollment ID: I20041013001154 |
| Provider Name | Kendra L Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679905020 PECOS PAC ID: 8426282955 Enrollment ID: I20150925002298 |
| Provider Name | Brianne J Kanehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053973099 PECOS PAC ID: 4789913567 Enrollment ID: I20190903002827 |
| Provider Name | Thomas Leland Leavitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417735614 PECOS PAC ID: 4486093143 Enrollment ID: I20240415003378 |
| Provider Name | Teylor Mckayla Wiese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336037266 PECOS PAC ID: 6507374188 Enrollment ID: I20250805001010 |
Pine Springs Health LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 711 Ne Irving Ave, Bend, OR 97701 Phone: 541-330-9110 |
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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 |
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