Shane M Coleman, M.D., MPH
Individual provider Active NPI Psychiatry Physician · Bend, OR
NPI 1083819692 · NPPES record last updated May 20, 2026
Key facts
- NPI
- 1083819692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 7728 (AK)
- Practice address
- 2600 NE Neff Rd
Bend, OR 97701-6337 - Phone
- (541) 706-4800
- Fax
- (541) 706-4806
- NPI assigned
- Jun 15, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 16
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- University of Washington School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Charles Health System Inc
Practice addresses (Care Compare)
1253 NW Canal Blvd
Redmond, OR 97756-1334
Phone (541) 548-8131
2600 NE Neff Rd
Bend, OR 97701-6337
Phone (541) 706-2768
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130716000445 | TX | Practitioner - Psychiatry | 5597933291 | Reassigns benefits to 2 organizations |
| I20210914001653 | OR | Practitioner - Psychiatry | 5597933291 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7728 | AK | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Charles Health System, Inc. | Current |
Accepting new patients | |
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Current |
Accepting new patients | |
| Alaska Native Tribal Health Consortium | Current |
Accepting new patients | |
| Southcentral Foundation | Past |
Accepting new patients | |
| Southcentral Foundation | Past | Accepting new patients | |
| Southcentral Foundation | Past | Accepting new patients |
Locations
3801 University Lake Dr
Ste 205
Anchorage, AK 99508
Phone (907) 563-1600
4320 Diplomacy Dr
Ste 1500
Anchorage, AK 99508
Phone 90772925003
4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729
29358 Network Pl
Chicago, IL 60673
2500 NE Neff Rd
Bend, OR 97701
Phone (541) 388-4333
2600 NE Neff Rd
Bend, OR 97701
Phone (541) 706-3700
1253 NW Canal Blvd
Redmond, OR 97756
Phone (541) 548-8131
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 7728 | AK | Yes |
Addresses
Primary practice location
2600 NE Neff Rd
Bend, OR 97701-6337
Mailing address
880 SW Theater Dr
Bend, OR 97702-3509
Phone (206) 310-9452
Other practice location 1
4320 Diplomacy Dr
Suite 1500
Anchorage, AK 99508-5925
Phone (206) 310-9452
Other practice location 2
3801 University Lake Dr Ste 205
Anchorage, AK 99508
Phone (907) 729-2492
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 246201 | Other | MA | MEDICAL LICENSE |
| 1083819 | Medicaid | WA | |
| 232258 | Other | MA | MEDICAL TRAINING/LIMITED LICENSE |
| 6810 | Other | AK | MEDICAL LICENSE - TEMP |
| MD60212882 | Other | WA | MEDICAL LICENSE |
| 7728 | Other | AK | MEDICAL LICENS |
| MD00372 | Other | AK | ALASKA MEDICAID PROVIDER NUMBER |
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.