Active NPI
Melvin C Vanmeter III, NP
- Family Nurse Practitioner
- Klamath Falls, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 10022943
- Practice address
- 2074 S 6TH St
Klamath Falls, OR 97601-3372 - Phone
- (541) 841-8110
- NPI assigned
- Jan 9, 2024
- Sex
- Male
- 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 | CNP.0035589 | OH | |
| Family Nurse Practitioner | 363LF0000X | 10022943 | OR | Primary |
Addresses
Primary practice location
2074 S 6TH St
Klamath Falls, OR 97601-3372
Mailing address
2074 S 6TH St
Klamath Falls, OR 97601-3372
Phone (541) 841-8110
Other practice location 1
7536 Sand Pt Apt A
Indianapolis, IN 46240-3359
Phone (260) 609-7375
Other practice location 2
403 Pine St
Klamath Falls, OR 97601-6020
Phone (541) 851-8110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500832363 | Medicaid | OR |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3737 Shasta Way
Suite a
Klamath Falls, OR 97603-4982
Phone (541) 640-7625
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP.0035589 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icco, LLC | Current | Accepting new patients | |
| Icco, LLC | Current | Accepting new patients | |
| Icco LLC | Current | Accepting new patients | |
| Icco, LLC | Past | Accepting new patients |
Locations
108 NW Sisemore St
Ste 120
Bend, OR 97703
Phone (541) 213-2133
1302 NE 3rd St
Bend, OR 97701
Phone (541) 385-6388
1445 Gateway Blvd
Cottage Grove, OR 97424
Phone (541) 767-3023
186 W Ellendale Ave
Dallas, OR 97338
Phone (971) 900-4984
598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473
2710 Willamette St
Eugene, OR 97405
Phone (541) 735-3161
4040 W 11th Ave
Ste B
Eugene, OR 97402
Phone (458) 215-2311
1800 Coburg Rd
Eugene, OR 97401
Phone (541) 342-1632
3675 Pacific Ave
#101
Forest Grove, OR 97116
Phone (971) 762-4611
1890 NW 6th St
Grants Pass, OR 97526
Phone (541) 507-0684
1623 N 1st St
Hermiston, OR 97838
Phone (458) 300-9014
355 W 3rd Ave
Junction City, OR 97448
Phone (541) 998-2468
3737 Shasta Way
Ste A
Klamath Falls, OR 97603
Phone (541) 883-2337
3400 Cooperative Way
Lebanon, OR 97355
Phone (541) 333-6605
1755 SW Baker St
McMinnville, OR 97128
Phone (971) 900-4522
1841 E Barnett Rd
Medford, OR 97504
Phone (541) 216-7291
1226 Virginia Ave
North Bend, OR 97459
Phone (541) 305-4224
3818 SW 21st St
Ste 100
Redmond, OR 97756
Phone (541) 548-2899
1555 S Highway 97
#101
Redmond, OR 97756
Phone (541) 204-4304
1740 NW Goetz St
Roseburg, OR 97471
Phone (541) 672-4789
2920 Commercial St SE
Salem, OR 97302
Phone (541) 641-6053
5781 Main St
Springfield, OR 97478
Phone (541) 284-1694
445 Harlow Rd
Ste 100
Springfield, OR 97477
Phone (541) 228-3865
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Klamath Falls, OR
- NPI 1659340370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1194596221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2074 S 6TH ST",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976013372",
"telephone_number": "541-841-8110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2074 S 6TH ST",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976013372",
"telephone_number": "541-841-8110"
}
],
"practiceLocations": [
{
"address_1": "7536 Sand Pt Apt A",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462403359",
"country_code": "US",
"telephone_number": "260-609-7375",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "403 Pine St",
"address_purpose": "LOCATION",
"city": "Klamath Falls",
"state": "OR",
"postal_code": "976016020",
"country_code": "US",
"telephone_number": "541-851-8110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANMETER",
"first_name": "MELVIN",
"middle_name": "C",
"name_suffix": "III",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-09",
"last_updated": "2024-07-30",
"certification_date": "2024-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "CNP.0035589",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "10022943",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500832363",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Klamath Falls, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.