Individual provider Active NPI

Tyler Curtis Rice, ARNP, FNP-C

  • Nurse Practitioner
  • Bend, OR
National Provider Identifier
1255083267
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
202200380NP-PP Issued in OR
Practice address
595 SW Bluff Dr Ste a
Bend, OR 97702-1283
Phone
(541) 508-4858
NPI assigned
Jan 20, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 202200380NP-PP OR Primary

Addresses

Primary practice location

595 SW Bluff Dr Ste a
Bend, OR 97702-1283

Mailing address

595 SW Bluff Dr Ste a
Bend, OR 97702-1283
Phone (541) 508-4858

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tyler@oregonmanclinics.com

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
I20240104002185 OR Order and Referring Only - Nurse Practitioner 8729439617

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
202200380NP-PPORMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Omhc, LLC Past Accepting new patients

Organizations & group practices 1

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": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1255083267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 SW BLUFF DR STE A",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021283",
            "telephone_number": "541-508-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 SW BLUFF DR STE A",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021283",
            "telephone_number": "541-508-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICE",
        "first_name": "TYLER",
        "middle_name": "CURTIS",
        "credential": "ARNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "202200380NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tyler@oregonmanclinics.com",
            "affiliation": "N",
            "address_1": "595 SW Bluff Dr Ste A",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977021283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.