Individual provider Active NPI

Christina Harwell Halter, FNP, CNM

  • Family Nurse Practitioner
  • Bend, OR
National Provider Identifier
1134568157
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201909359NP-PP Issued in OR
Practice address
685 SE 3Rd St
Bend, OR 97702-1754
Phone
(541) 668-9070
NPI assigned
Jun 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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 201909359NP-PP OR Primary

Addresses

Primary practice location

685 SE 3Rd St
Bend, OR 97702-1754

Mailing address

685 SE 3Rd St
Bend, OR 97702-1754
Phone (541) 668-9070

Other practice location 1

908 NE 4th St # 100
Bend, OR 97701-4646
Phone (541) 617-7365

Other identifiers 1

IdentifierTypeStateIssuer
201909359NP-PPOtherOROREGON LICENSE

Other names 1

  • Mrs. Christina Louise Harwell Former name

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
I20200309002255 OR Practitioner - Nurse Practitioner 4284876319 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Medical Care Foundation Inc CurrentSince Oct 20, 2018 Accepting new patients
Bend Memorial Clinic PC Family CurrentSince Mar 1, 2020 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Bend Memorial Clinic PC CurrentSince Mar 1, 2020 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Oct 20, 2018 Accepting new patients

Locations

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

1501 NE Medical Center Dr
Bend, OR 97701
Phone (541) 317-4354

815 SW Bond St
#100
Bend, OR 97702
Phone (541) 706-2525

Interoperability endpoints

  • Direct secure messaging: chalter680813@direct.ochin.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1134568157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 SE 3RD ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021754",
            "telephone_number": "541-668-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 SE 3RD ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021754",
            "telephone_number": "541-668-9070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "908 NE 4th St # 100",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977014646",
            "country_code": "US",
            "telephone_number": "541-617-7365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALTER",
        "first_name": "CHRISTINA",
        "middle_name": "HARWELL",
        "credential": "FNP, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201909359NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON LICENSE",
            "identifier": "201909359NP-PP",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "HARWELL",
            "middle_name": "LOUISE",
            "prefix": "MRS.",
            "credential": "CNM,RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.