Individual provider Active NPI

Nicole Lex, FNP

  • Family Nurse Practitioner
  • Redmond, OR
National Provider Identifier
1114893609
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10046588 Issued in OR
Practice address
340 NW 5TH St Ste 101
Redmond, OR 97756-1869
Phone
(541) 526-6635
Fax
(541) 526-6636
NPI assigned
Oct 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10046588 OR Primary

Addresses

Primary practice location

340 NW 5TH St Ste 101
Redmond, OR 97756-1869

Mailing address

20062 Elizabeth LN
Bend, OR 97702-2227
Phone (612) 708-0723

Other practice location 1

20062 Elizabeth Ln
Bend, OR 97702-2227
Phone (612) 708-0723

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nlex36762@secure.stcharleshealthcare.org

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260316003322 OR Practitioner - Nurse Practitioner 8224511415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Charles Health System IncGroup PAC ID 8729111513, 379 clinicians

Practice addresses (Care Compare)

340 NW 5TH St
101 Cent Women HT
Redmond, OR 97756-1869
Phone (541) 526-6635

Hospital & facility affiliations

  • St Charles Medical Center - Bend Hospital, Bend, OR, CCN 380047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10046588ORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Charles Health System, Inc. CurrentSince Mar 1, 2026 Accepting new patients
St. Charles Health System, Inc. CurrentSince Mar 1, 2026 Accepting new patients

Locations

470 NE A St
Madras, OR 97741
Phone (541) 383-3668

340 NW 5th St
Redmond, OR 97756
Phone (541) 504-2218

340 NW 5th St
Ste 101
Redmond, OR 97756
Phone (734) 545-3348

Interoperability endpoints

  • Direct secure messaging: nlex36762@secure.stcharleshealthcare.org

Organizations & group practices 2

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 2

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": "1760313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1114893609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20062 ELIZABETH LN",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022227",
            "telephone_number": "612-708-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 NW 5TH ST STE 101",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561869",
            "telephone_number": "541-526-6635",
            "fax_number": "541-526-6636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20062 Elizabeth Ln",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977022227",
            "country_code": "US",
            "telephone_number": "612-708-0723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEX",
        "first_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-13",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10046588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nlex36762@secure.stcharleshealthcare.org",
            "affiliation": "N",
            "address_1": "340 NW 5th St Ste 101",
            "city": "Redmond",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977561869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

Verify at the official NPI Registry.