Individual provider Active NPI

Jennifer Holly McCleery, PA-C

  • Physician Assistant
  • Bend, OR
National Provider Identifier
1215247994
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA153190 Issued in OR
Practice address
2200 NE Neff Rd Ste 200
Bend, OR 97701-4281
Phone
(541) 382-3344
Fax
(541) 382-1681
NPI assigned
Oct 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA153190 OR Primary

Addresses

Primary practice location

2200 NE Neff Rd Ste 200
Bend, OR 97701-4281

Mailing address

1303 NE Cushing Dr Ste 100
Bend, OR 97701-3887
Phone (541) 388-2333

Other practice location 1

1315 NW 4th St
Redmond, OR 97756-1328
Phone (541) 548-9159

Other practice location 2

1303 NE Cushing Dr Ste 100
Bend, OR 97701
Phone (541) 550-4282

Other identifiers 2

IdentifierTypeStateIssuer
P01086588OtherORMEDICARE RAILROAD
500628065MedicaidOR

Other names 1

  • Jennifer Turk Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmccleery27244@secure.stcharleshealthcare.org

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
I20101214000640 OR Practitioner - Physician Assistant 1153518311 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Charles Health System IncGroup PAC ID 8729111513, 379 clinicians

Practice addresses (Care Compare)

1342 NE Medical Ctr Dr
Suite 101
Bend, OR 97701-5918
Phone (541) 382-3344

211 NW Larch Ave
Family Care
Redmond, OR 97756-1357
Phone (541) 548-2164

2245 NW Shevlin Park Rd
Bend, OR 97703-7195
Phone (541) 382-3344

2500 NE Neff Rd
Bend, OR 97701-6015

Hospital & facility affiliations

  • St. Charles Home Health Services Home health agency, Bend, OR, CCN 387026
  • St Charles Medical Center - Bend Hospital, Bend, OR, CCN 380047
  • St Charles Medical Center Prineville Hospital, Prineville, OR, CCN 381313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Charles Health System, Inc. CurrentSince Jan 1, 2026 Accepting new patients
St. Charles Health System, Inc. CurrentSince Jan 1, 2025 Accepting new patients
St. Charles Health System, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Active Wound Healing Past Accepting new patients

Locations

29358 Network Pl
Chicago, IL 60673

1342 NE Medical Center Dr
Bend, OR 97701
Phone (541) 318-0858

2200 NE Neff Rd
Ste 200
Bend, OR 97701
Phone (541) 322-2331

2245 NW Shevlin Park Rd
Bend, OR 97703

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

2200 NE Neff Rd
Bend, OR 97701
Phone (541) 322-2323

1303 NE Cushing Dr
Ste 100
Bend, OR 97701
Phone (541) 330-8226

271 N Egan Ave
Burns, OR 97720
Phone (541) 573-2301

170 Ford Rd
John Day, OR 97845
Phone (541) 575-1311

51600 Huntington Rd
La Pine, OR 97739
Phone (541) 385-7129

384 SE Combs Flat Rd
Prineville, OR 97754
Phone (541) 383-3668

211 NW Larch Ave
Redmond, OR 97756
Phone (541) 548-2164

1315 NW 4th St
Redmond, OR 97756
Phone (541) 388-2333

333 NW Larch Ave
Ste 110
Redmond, OR 97756

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00337

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 5

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": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1215247994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 NE CUSHING DR STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013887",
            "telephone_number": "541-388-2333",
            "fax_number": "541-388-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 NE NEFF RD STE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014281",
            "telephone_number": "541-382-3344",
            "fax_number": "541-382-1681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1315 NW 4th St",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "OR",
            "postal_code": "977561328",
            "country_code": "US",
            "telephone_number": "541-548-9159",
            "fax_number": "541-548-9168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1303 NE Cushing Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "97701",
            "country_code": "US",
            "telephone_number": "541-550-4282",
            "fax_number": "541-388-2333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLEERY",
        "first_name": "JENNIFER",
        "middle_name": "HOLLY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-15",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA153190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P01086588",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500628065",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmccleery27244@secure.stcharleshealthcare.org",
            "affiliation": "N",
            "address_1": "2200 NE Neff Rd Ste 200",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977014281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "TURK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.