Shelly Prather, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

202006753NP-PP Issued in OR

Practice address

1900 Woodland Dr
Coos Bay, OR 97420-2099

Phone

(541) 267-5151

NPI assigned

Apr 5, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

North Bend Medical Center IncGroup PAC ID 5597677716, 92 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oregon Coast Home Health Home health agency, Coos Bay, OR, CCN 387039
• Pacific Home Health and Hospice Home health agency, Coos Bay, OR, CCN 387135
• South Coast Hospice Hospice, Coos Bay, OR, CCN 381530
• Bay Area Hospital Hospital, Coos Bay, OR, CCN 380090

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sprather328561@direct.ochin.org

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.

• North Bend Medical Center Inc

  • Multi-Specialty Clinic/Center
  • Coos Bay, OR
  • NPI 1407812365
  Medicare reassignment Care Compare group
• Waterfall Clinic Incorporated

  • Federally Qualified Health Center (FQHC)
  • North Bend, OR
  • NPI 1619915113
  Medicare reassignment NPD
• Waterfall Clinic Incorporated

  • Federally Qualified Health Center (FQHC)
  • Powers, OR
  • NPI 1609151810
  NPD
• Waterfall Clinic, Incorporated

  • Psychiatric/Mental Health Nurse Practitioner
  • Coos Bay, OR
  • NPI 1619673704
  NPD
• North Bend Medical Center Inc

  • Diagnostic Radiology Physician
  • Coos Bay, OR
  • NPI 1063428308
  NPD (past)
• North Bend Medical Center Inc

  • Ambulatory Surgical Clinic/Center
  • Coos Bay, OR
  • NPI 1386650778
  NPD (past)

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

• Bay Area Home Health Operations LLC

  • Home Health Agency
  • Coos Bay, OR
  • NPI 1134801806
  Care Compare affiliation
• Bay Area Hospital District

  • General Acute Care Hospital
  • Coos Bay, OR
  • NPI 1225016561
  Care Compare affiliation
• Pacific Home Care Associates Inc.

  • Home Health Agency
  • Coos Bay, OR
  • NPI 1851350086
  Care Compare affiliation
• South Coast Hospice & Palliative Care Services Inc

  • Community Based Hospice Care Agency
  • Coos Bay, OR
  • NPI 1417956558
  Care Compare affiliation

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

{
    "created_epoch": "1586044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1124657887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 WOODLAND DR",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202099",
            "telephone_number": "541-267-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 WOODLAND DR",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202099",
            "telephone_number": "541-267-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATHER",
        "first_name": "SHELLY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-05",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202006753NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Lynn Phillips, MFA LMT
• Braden M Piggott, PHARM.D.
• Basil Pittenger, MD
• Lindsi Poole
• Anita Powell, PA-C
• Craig Procunier
• Stephen Kent Procunier, LAC LIC ACUPUNTURIST
• Qualicenters Coos Bay, LTD.
• Casey Afton Quayle
• Jessica Renee Quinlan, RN

• Family Nurse Practitioner in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.