Individual provider Active NPI

Kelly Elizabeth Wingerter, M.D.

  • Cardiovascular Disease Physician
  • Bend, OR
National Provider Identifier
1073957072
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101275630 Issued in VA
Practice address
2500 NE Neff Rd
Bend, OR 97701-6015
Phone
(541) 388-4333
Fax
(541) 388-3446
NPI assigned
Apr 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 26775 MS
Cardiovascular Disease Physician 207RC0000X 0101275630 VA Primary

Addresses

Primary practice location

2500 NE Neff Rd
Bend, OR 97701-6015

Mailing address

PO Box 9007
Charlottesville, VA 22906-9007

Other practice location 1

1215 Lee St
Charlottesville, VA 22908-0816
Phone (434) 924-0211

Other practice location 2

500 Ray C Hunt Dr
Charlottesville, VA 22903-2981
Phone (434) 243-1000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kwingerter225387@secure.stcharleshealthcare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, AZ, OR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220913001578 VA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7719291566 Reassigns benefits to 1 organization
I20251007001601 AZ Practitioner - Cardiovascular Disease (Cardiology) 7719291566 Reassigns benefits to 1 organization
I20251121003979 OR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7719291566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Charles Health System IncGroup PAC ID 8729111513, 379 clinicians

Practice addresses (Care Compare)

2500 NE Neff Rd
Pulmonary Clin
Bend, OR 97701-6015
Phone (541) 706-7715

500 Ray C Hunt Dr
FL 2
Charlottesville, VA 22903-2981
Phone (434) 243-4520

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.45 of 100Reported as group
Quality
79.76
Promoting interoperability
100
Improvement activities
40
Cost
75.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26775MSMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Charles Health System, Inc. CurrentSince Jan 5, 2026 Accepting new patients
Orthopedic Specialists of North America, PLLC CurrentSince Oct 1, 2025 Accepting new patients
Orthopedic Specialists of North America, PLLC CurrentSince Oct 1, 2025 Accepting new patients
University of Virginia Physicians Group CurrentSince Aug 1, 2022 Accepting new patients
Orthopedic Specialists of North America, PLLC Current Accepting new patients
St. Charles Health System, Inc. CurrentSince Jan 5, 2026 Accepting new patients

Locations

3033 N 44th St
Phoenix, AZ 85018
Phone (253) 304-1154

3033 N 44th St
Ste 160
Phoenix, AZ 85018

3033 N 44th St
Ste 100
Phoenix, AZ 85018
Phone (602) 631-3161

40601 N Gantzel Rd
Ste 103
San Tan Vly, AZ 85140

5620 E Bell Rd
Scottsdale, AZ 85254
Phone (602) 485-3050

29358 Network Pl
Chicago, IL 60673

2500 NE Neff Rd
Bend, OR 97701
Phone (541) 388-4333

211 NW Larch Ave
Redmond, OR 97756
Phone (541) 548-2164

500 Ray C Hunt Dr
Fl 2
Charlottesville, VA 22903
Phone (434) 243-4520

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211

500 Ray C Hunt Dr
Charlottesvle, VA 22903
Phone (434) 924-2224

Interoperability endpoints

  • Direct secure messaging: kwingerter225387@secure.stcharleshealthcare.org

Organizations & group practices 6

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": "1366416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1073957072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229069007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NE NEFF RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016015",
            "telephone_number": "541-388-4333",
            "fax_number": "541-388-3446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Lee St",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229080816",
            "country_code": "US",
            "telephone_number": "434-924-0211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Ray C Hunt Dr",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229032981",
            "country_code": "US",
            "telephone_number": "434-243-1000",
            "fax_number": "434-244-7551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINGERTER",
        "first_name": "KELLY",
        "middle_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-20",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MS",
            "license": "26775",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101275630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwingerter225387@secure.stcharleshealthcare.org",
            "affiliation": "N",
            "address_1": "2500 NE Neff Rd",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977016015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.