Individual provider Active NPI

Debra M Waddell, FNP-C

  • Primary Care Nurse Practitioner
  • Blue River, OR
National Provider Identifier
1134366156
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
10065158 Issued in OR
Practice address
51730 Dexter St
Blue River, OR 97413-9776
Phone
(541) 822-3341
NPI assigned
Jan 13, 2009
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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 AP60468832 WA
Primary Care Nurse Practitioner 363LP2300X 10065158 OR Primary

Addresses

Primary practice location

51730 Dexter St
Blue River, OR 97413-9776

Mailing address

820 N Chelan Ave
Wenatchee, WA 98801-2028
Phone (509) 663-8711

Other practice location 1

916 Koala Dr
Omak, WA 98841-9759
Phone (509) 663-8711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, WA, ME4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20150910002216 TX Practitioner - Nurse Practitioner 0143545640 Reassigns benefits to 2 organizations
I20170825002382 FL Practitioner - Nurse Practitioner 0143545640 Reassigns benefits to 1 organization
I20190604000988 WA Practitioner - Nurse Practitioner 0143545640 Reassigns benefits to 1 organization
I20251104003206 ME Practitioner - Nurse Practitioner 0143545640

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Katahdin Valley Health CenterGroup PAC ID 4880659903, shared by 13 NPIs, 66 clinicians

Practice addresses (Care Compare)

59 Bangor St
Houlton, ME 04730-1740
Phone (207) 528-2285

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10065158ORMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Bay Area Health Corporation Current Accepting new patients
Adventist Health System Sunbelt, Inc. Family CurrentSince Jul 1, 2017 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Katahdin Valley Health Center Current Accepting new patients
Adventist Health System/ Sunbelt, Inc. Family CurrentSince Jul 1, 2017 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Family Health Centers Current Accepting new patients
Family Health Centers CurrentSince May 12, 2025 Accepting new patients
Katahdin Valley Health Center CurrentSince Nov 4, 2025 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Jul 15, 2020 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Family Health Centers CurrentSince May 12, 2025 Accepting new patients
Yakutat Tribal Health Board CurrentSince Jan 4, 2023 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corportation Current Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Katahdin Valley Health Center CurrentSince Nov 4, 2025 Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

4660 13th St
Saint Cloud, FL 34769
Phone (321) 805-4650

180 Main Rd
Brownville, ME 04414
Phone (207) 965-8700

188 Summer St
Dover Foxcroft, ME 04426
Phone (207) 523-3700

59 Bangor St
Houlton, ME 04730
Phone (207) 532-4782

1003 Koala Dr
Omak, WA 98841
Phone (509) 422-1913

Interoperability endpoints

  • Direct secure messaging: debra.wadell.1@7377.direct.athenahealth.com

Organizations & group practices 30

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 30

Hospital & facility affiliations 1

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": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1134366156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N CHELAN AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012028",
            "telephone_number": "509-663-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51730 DEXTER ST",
            "city": "BLUE RIVER",
            "state": "OR",
            "postal_code": "974139776",
            "telephone_number": "541-822-3341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "916 Koala Dr",
            "address_purpose": "LOCATION",
            "city": "Omak",
            "state": "WA",
            "postal_code": "988419759",
            "country_code": "US",
            "telephone_number": "509-663-8711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADDELL",
        "first_name": "DEBRA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-13",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60468832",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OR",
            "license": "10065158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue River, OR

Sources for this page

Verify at the official NPI Registry.