Individual provider Active NPI

Julie E Chaney, STUDENT FNP

  • Family Nurse Practitioner
  • Bend, OR
National Provider Identifier
1174042824
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201901501NP-PP Issued in OR
Practice address
1501 NE Medical Center Dr
Bend, OR 97701-6099
Phone
(541) 382-4900
NPI assigned
Sep 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 201901501NP-PP OR
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 201901501NP-PP OR Primary

Addresses

Primary practice location

1501 NE Medical Center Dr
Bend, OR 97701-6099

Mailing address

PO Box 6048
Bend, OR 97708-6048
Phone (541) 382-4900

Other practice location 1

3619 SW 22nd Ct
Gresham, OR 97080-8313
Phone (503) 492-1021

Other practice location 2

1475 Mount Hood Ave
Woodburn, OR 97071-9066
Phone (971) 983-5360

Other identifiers 1

IdentifierTypeStateIssuer
500762334MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jchaney20406@directmsg.bmctotalcare.com Direct

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
I20190531002097 OR Practitioner - Nurse Practitioner 7719210079 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silverton HealthGroup PAC ID 8921901877, 147 clinicians
Bend Memorial Clinic PCGroup PAC ID 7214936533, 225 clinicians

Practice addresses (Care Compare)

1475 Mount Hood Ave
Woodburn, OR 97071-9066
Phone (503) 982-2174

1501 NE Medical Ctr Dr
Bend, OR 97701-6051
Phone (541) 382-2811

342 Fairview St
Silverton, OR 97381-1917
Phone (503) 525-7660

Hospital & facility affiliations

  • St Charles Medical Center - Bend Hospital, Bend, OR, CCN 380047

Merit-based Incentive Payment System (MIPS)

Final score
95.41 of 100Reported as group
Quality
88.83
Promoting interoperability
100
Improvement activities
40
Cost
82.4

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201901501NP-PPORMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Icco LLC CurrentSince Aug 1, 2022 Accepting new patients
Silverton Health CurrentSince Jun 1, 2019 Accepting new patients
Legacy Clinics LLC Multi-Specialty CurrentSince Jul 21, 2021 Accepting new patients
Silverton Health Multi-Specialty Current Accepting new patients
Icco, LLC Multi-Specialty Current Accepting new patients
Icco, LLC Multi-Specialty CurrentSince Aug 1, 2022 Accepting new patients
Silverton Health Multi-Specialty CurrentSince Jun 1, 2019 Accepting new patients
Bend Memorial Clinic PC Multi-Specialty CurrentSince Sep 1, 2023 Accepting new patients
Bend Memorial Clinic PC CurrentSince Sep 1, 2023 Accepting new patients
Legacy Clinics LLC Past Accepting new patients
Legacy Salmon Creek Hospital Multi-Specialty Past Accepting new patients

Locations

2870 SW Cedar Hills Blvd
Beaverton, OR 97005
Phone (503) 646-9222

815 SW Bond St
Bend, OR 97702
Phone (541) 382-4900

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

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

598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473

22262 NE Glisan St
Gresham, OR 97030
Phone (503) 489-2024

2850 SE Powell Valley Rd
Gresham, OR 97080
Phone (503) 666-5050

9361 SE 82nd Ave
Happy Valley, OR 97086
Phone (503) 457-4301

3737 Shasta Way
Ste A
Klamath Falls, OR 97603
Phone (541) 883-2337

3 Monroe Pkwy
Ste X
Lake Oswego, OR 97035
Phone (503) 679-3748

3400 Cooperative Way
Lebanon, OR 97355
Phone (541) 333-6605

861 W Main St
Molalla, OR 97038
Phone (503) 829-7344

1900 McLoughlin Blvd
Ste 67
Oregon City, OR 97045

4800 SW 76th Ave
Portland, OR 97225
Phone (971) 808-0665

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

3818 SW 21st St
Ste 100
Redmond, OR 97756
Phone (541) 548-2899

21430 SW Langer Farms Pkwy
Ste 158
Sherwood, OR 97140
Phone (971) 808-0655

335 Fairview St
Silverton, OR 97381
Phone (503) 873-4115

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667

21900 Willamette Dr
Ste 209
West Linn, OR 97068
Phone (971) 274-0038

1475 Mount Hood Ave
Woodburn, OR 97071
Phone (503) 982-2174

Interoperability endpoints

  • Direct secure messaging: jchaney316025@direct.lhs.org
  • Direct secure messaging: jchaney20406@directmsg.bmctotalcare.com

Organizations & group practices 11

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.

Hospital & facility affiliations 2

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": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1174042824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6048",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977086048",
            "telephone_number": "541-382-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 NE MEDICAL CENTER DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016099",
            "telephone_number": "541-382-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3619 SW 22nd Ct",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970808313",
            "country_code": "US",
            "telephone_number": "503-492-1021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1475 Mount Hood Ave",
            "address_purpose": "LOCATION",
            "city": "Woodburn",
            "state": "OR",
            "postal_code": "970719066",
            "country_code": "US",
            "telephone_number": "971-983-5360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANEY",
        "first_name": "JULIE",
        "middle_name": "E",
        "credential": "STUDENT FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "201901501NP-PP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201901501NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500762334",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jchaney20406@directmsg.bmctotalcare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1501 NE Medical Center Dr",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977016099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.