Active NPI
Courtney Nicole Walker, DO
- Gastroenterology Physician
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- DO192550
- Practice address
- 2200 NE Neff Rd Ste 302
Bend, OR 97701-4279 - Phone
- (541) 706-4220
- Fax
- (541) 597-5819
- NPI assigned
- Jun 20, 2012
- Last updated
- Sep 9, 2024
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | D.0070050 | CO | |
| Gastroenterology Physician | 207RG0100X | DO192550 | OR | Primary |
Addresses
Primary practice location
2200 NE Neff Rd Ste 302
Bend, OR 97701-4279
Mailing address
PO Box 670
Bend, OR 97709-0670
Phone (541) 706-5777
Other practice location 1
30 N 1900 E
Room 4R118
Salt Lake City, UT 84132-0002
Phone (801) 581-7803
Other practice location 2
1303 NE Cushing Dr Ste 100
Bend, OR 97701-3887
Phone (541) 706-5777
Other practice location 3
2535 S Downing St Ste 410
Denver, CO 80210-5851
Phone (303) 260-2740
Other practice location 4
1303 NE Cushing Dr Ste 100
Bend, OR 97701-3887
Phone (541) 706-5777
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cwalker96635@secure.stcharleshealthcare.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2200 NE Neff Rd
Bend, OR 97701-4283
Phone (541) 382-4321
Hospital & facility affiliations
- St Charles Medical Center - Bend
- St Charles Medical Center Prineville
- Sky Lakes Medical Center
- St Charles Madras
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 96 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 535 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D.0070050 | CO | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Charles Health System, Inc. | Family Medicine | Current | Accepting new patients |
| Alaska Native Tribal Health Consortium | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Past | Accepting new patients | |
| St. Charles Health System, Inc. | Past | Accepting new patients |
Locations
3900 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1128
4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900
4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729
29358 Network Pl
Chicago, IL 60673
1303 NE Cushing Dr
Ste 100
Bend, OR 97701
Phone (541) 388-2333
2200 NE Neff Rd
Bend, OR 97701
Phone (541) 322-2395
2200 NE Neff Rd
Ste 302
Bend, OR 97701
Phone (541) 706-4220
1245 NW 4th St
Ste 101
Redmond, OR 97756
211 NW Larch Ave
Redmond, OR 97756
Phone (541) 548-2164
Interoperability endpoints
- cwalker96635@secure.stcharleshealthcare.org
Organizations & group practices 6
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 St. Charles Medical Group
- Family Medicine Physician
- Bend, OR
- NPI 1023331303
-
dba The Center at St. Charles Medical Equipment
- Specialist
- Bend, OR
- NPI 1700697935
-
dba Affiliated Ear, Nose & Throat Physicians
- Otolaryngology Physician
- Greenwood Village, CO
- NPI 1760761928
-
dba St. Charles Medical Supply - Redmond
- Oxygen Equipment & Supplies (DME)
- Redmond, OR
- NPI 1427140870
-
dba St. Charles Bend
- General Acute Care Hospital
- Bend, OR
- NPI 1982621447
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba NW High Desert Sleep Center Bend
- Sleep Disorder Diagnostic Clinic/Center
- Bend, OR
- NPI 1164675963
Hospital
-
- General Acute Care Hospital
- Klamath Falls, OR
- NPI 1659340370
-
dba St. Charles - Madras
- Critical Access Hospital
- Madras, OR
- NPI 1356389894
-
dba St. Charles Prineville
- Critical Access Hospital
- Prineville, OR
- NPI 1710160445
-
dba St. Charles Bend
- General Acute Care Hospital
- Bend, OR
- NPI 1982621447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1154684504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 670",
"city": "BEND",
"state": "OR",
"postal_code": "977090670",
"telephone_number": "541-706-5777",
"fax_number": "541-429-6642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 NE NEFF RD STE 302",
"city": "BEND",
"state": "OR",
"postal_code": "977014279",
"telephone_number": "541-706-4220",
"fax_number": "541-597-5819"
}
],
"practiceLocations": [
{
"address_1": "30 N 1900 E",
"address_2": "ROOM 4R118",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841320002",
"country_code": "US",
"telephone_number": "801-581-7803",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1303 NE Cushing Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Bend",
"state": "OR",
"postal_code": "977013887",
"country_code": "US",
"telephone_number": "541-706-5777",
"fax_number": "541-429-6642",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2535 S Downing St Ste 410",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802105851",
"country_code": "US",
"telephone_number": "303-260-2740",
"fax_number": "303-260-2741",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1303 NE Cushing Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Bend",
"state": "OR",
"postal_code": "977013887",
"country_code": "US",
"telephone_number": "541-706-5777",
"fax_number": "541-429-6642",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALKER",
"first_name": "COURTNEY",
"middle_name": "NICOLE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-20",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CO",
"license": "D.0070050",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "OR",
"license": "DO192550",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cwalker96635@secure.stcharleshealthcare.org",
"affiliation": "N",
"address_1": "2200 NE Neff Rd Ste 302",
"city": "Bend",
"state": "OR",
"country_code": "US",
"postal_code": "977014279",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.