Active NPI
Debra M Waddell, FNP-C
- Primary Care Nurse Practitioner
- Blue River, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 10065158
- Practice address
- 51730 Dexter St
Blue River, OR 97413-9776 - Phone
- (541) 822-3341
- NPI assigned
- Jan 13, 2009
- Last updated
- Sep 9, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
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 Center
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10065158 | OR | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Adventist Health System Sunbelt, Inc. | Family | 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 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 | 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 | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Family Health Centers | Current | Accepting new patients | |
| Family Health Centers | Current | Accepting new patients | |
| Katahdin Valley Health Center | 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 | |
| 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 | |
| Yakutat Tribal Health Board | 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 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 | Current | 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
- 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.
-
dba AdventHealth Centra Care
- Urgent Care Clinic/Center
- Maitland, FL
- NPI 1073565610
Family
-
- Federally Qualified Health Center (FQHC)
- Okanogan, WA
- NPI 1609804392
-
dba Yakutat Community Health Center
- Clinic/Center
- Yakutat, AK
- NPI 1871529628
TX
-
dba AdventHealth Centra Care - Southern Trace
- Urgent Care Clinic/Center
- The Villages, FL
- NPI 1396605440
Family
-
- Clinic/Center
- Koliganek, AK
- NPI 1013079607
-
- Clinic/Center
- Ekwok, AK
- NPI 1104988799
-
- Clinic/Center
- Pilot Point, AK
- NPI 1174683825
-
- Clinic/Center
- Platinum, AK
- NPI 1285796870
-
- Clinic/Center
- Levelock, AK
- NPI 1366502767
-
- Clinic/Center
- South Naknek, AK
- NPI 1417018193
-
- Clinic/Center
- Twin Hills, AK
- NPI 1487716825
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.