Individual provider Active NPI

Melanie Bertenelli, MD

  • Family Medicine Physician
  • Sandy, OR
National Provider Identifier
1013364728
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD189768 Issued in OR
Practice address
37400 Bell St
Sandy, OR 97055-7868
Phone
(503) 668-3483
NPI assigned
May 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X PG178113 OR
Family Medicine Physician 207Q00000X MD189768 OR Primary

Addresses

Primary practice location

37400 Bell St
Sandy, OR 97055-7868

Mailing address

110 Beavercreek Rd Ste 100
Oregon City, OR 97045-4307
Phone (503) 655-8471

Other practice location 1

9775 SE Sunnyside Rd Ste 200
Clackamas, OR 97015-5721
Phone (503) 655-8471

Other names 1

  • Melanie Schafer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190926002808 OR Practitioner - Family Practice 4587958350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Clackamas Office of County AuditorGroup PAC ID 9537065560, 75 clinicians

Practice addresses (Care Compare)

110 Beavercreek Rd
Oregon City, OR 97045-4307
Phone (503) 655-8471

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Portland, OR, CCN 387003
  • Providence Willamette Falls Medical Center Hospital, Oregon City, OR, CCN 380038
  • Providence Milwaukie Hospital Hospital, Milwaukie, OR, CCN 380082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
County of Clackamas Office of County Auditor CurrentSince Aug 27, 2019 Accepting new patients
Clackamas County Current Accepting new patients
Clackamas County Past Accepting new patients

Locations

9775 SE Sunnyside Rd
Ste 200
Clackamas, OR 97015
Phone (503) 794-3830

2051 Kaen Rd
Ste 367
Oregon City, OR 97045
Phone (503) 742-5300

110 Beavercreek Rd
Ste 100
Oregon City, OR 97045

110 Beavercreek Rd
Oregon City, OR 97045
Phone (503) 655-8470

39740 Pleasant St
Sandy, OR 97055
Phone (503) 563-7679

37400 Bell St
Sandy, OR 97055
Phone (503) 668-3483

Interoperability endpoints

  • Direct secure messaging: mschafer286953@direct.ochin.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1013364728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BEAVERCREEK RD STE 100",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970454307",
            "telephone_number": "503-655-8471",
            "fax_number": "503-655-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37400 BELL ST",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970557868",
            "telephone_number": "503-668-3483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9775 SE Sunnyside Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Clackamas",
            "state": "OR",
            "postal_code": "970155721",
            "country_code": "US",
            "telephone_number": "503-655-8471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERTENELLI",
        "first_name": "MELANIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OR",
            "license": "PG178113",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD189768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "SCHAFER",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sandy, OR

Sources for this page

Verify at the official NPI Registry.