NPIMap

Individual provider Active NPI

Ian B Maness, FNP

  • Family Nurse Practitioner
  • Depoe Bay, OR
National Provider Identifier
1033594544
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201506484NP-PP Issued in OR
Practice address
531 N Highway 101 Ste a
Depoe Bay, OR 97341-9572
Phone
(541) 765-3265
NPI assigned
Jul 26, 2015
Last updated
Sep 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP128003 TX
Family Nurse Practitioner 363LF0000X 201506484NP-PP OR Primary

Addresses

Primary practice location

531 N Highway 101 Ste a
Depoe Bay, OR 97341-9572

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other practice location 1

157 Spaulding Ave
Brownsville, OR 97327-0160
Phone (541) 451-6940

Other practice location 2

3615 NW Samaritan Dr Ste 203
Corvallis, OR 97330-3771
Phone (541) 768-6930

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address imaness126660@samhealth.direct-ci.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160215002368 OR Practitioner - Nurse Practitioner 7315241171 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Samaritan Hospital CorvallisGroup PAC ID 1557270725, 372 clinicians
Samaritan Pacific Health Services IncGroup PAC ID 2466353529, shared by 7 NPIs, 86 clinicians

Practice addresses (Care Compare)

3600 NW Samaritan Dr
Corvallis, OR 97330-3737

531 N Hwy 101
Suite a
Depoe Bay, OR 97341-9572
Phone (541) 765-3265

930 SW Abbey St
Newport, OR 97365-4820
Phone (541) 265-2244

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
86.36

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
92.23
Promoting interoperability
100
Improvement activities
40
Cost
100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP128003TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Albany General Hospital Current Accepting new patients
Samaritan Pacific Health Services, Inc CurrentSince Nov 1, 2022 Accepting new patients
Samaritan Pacific Health Services, Inc. Current Accepting new patients
Albany General Hospital CurrentSince Nov 1, 2022 Accepting new patients
Samaritan North Lincoln Hospital Current Accepting new patients
Albany General Hospital CurrentSince Nov 1, 2022 Accepting new patients
Samaritan North Lincoln Hospital CurrentSince Nov 1, 2022 Accepting new patients
Mid-Valley Healthcare Inc CurrentSince Jan 4, 2016 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Nov 1, 2022 Accepting new patients
Mid-Valley Healthcare Inc CurrentSince Jan 4, 2016 Accepting new patients
Samaritan Pacific Health Services, Inc Current Accepting new patients
Samaritan Pacific Health Services Inc CurrentSince Nov 1, 2022 Accepting new patients
Samaritan North Lincoln Hospital CurrentSince Nov 1, 2022 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Nov 1, 2022 Accepting new patients
Good Samaritan Hospital Corvallis Current Accepting new patients

Locations

705 Elm St SW
Ste 200
Albany, OR 97321
Phone (541) 812-4850

157 Spaulding Ave
Brownsville, OR 97327
Phone (541) 451-6940

3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261

3615 NW Samaritan Dr
Ste 203
Corvallis, OR 97330
Phone (541) 768-6930

531 N Highway 101
#A
Depoe Bay, OR 97341
Phone (541) 765-3265

325 Park St
Lebanon, OR 97355
Phone (541) 451-7200

3043 NE 28th St
Lincoln City, OR 97367
Phone (541) 994-3661

930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Interoperability endpoints

  • Direct secure messaging: imaness126660@samhealth.direct-ci.com

Organizations & group practices 15

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

View all 15

Hospital & facility affiliations 45

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

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1437868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1033594544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 N HIGHWAY 101 STE A",
            "city": "DEPOE BAY",
            "state": "OR",
            "postal_code": "973419572",
            "telephone_number": "541-765-3265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "157 Spaulding Ave",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "OR",
            "postal_code": "973270160",
            "country_code": "US",
            "telephone_number": "541-451-6940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3615 NW Samaritan Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973303771",
            "country_code": "US",
            "telephone_number": "541-768-6930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANESS",
        "first_name": "IAN",
        "middle_name": "B",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-26",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128003",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201506484NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "imaness126660@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "531 N Highway 101 Ste A",
            "city": "Depoe Bay",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973419572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Depoe Bay, OR

Sources for this page

Verify at the official NPI Registry.