Individual provider Active NPI

Victoria Dimm Deeks, NP

  • Adult Health Nurse Practitioner
  • Redmond, OR
National Provider Identifier
1265502504
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
OR 079011396N3 Issued in OR
Practice address
2775 SW 17TH PL
Redmond, OR 97756-1254
Phone
(541) 504-6010
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X OR 079011396N3 OR Primary

Addresses

Primary practice location

2775 SW 17TH PL
Redmond, OR 97756-1254

Mailing address

2775 SW 17TH PL
Redmond, OR 97756-1254
Phone (541) 504-6010

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
I20080512000144 OR Practitioner - Nurse Practitioner 7012096324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peter E Palacio MD PCGroup PAC ID 7618110412, 3 clinicians

Practice addresses (Care Compare)

2450 NE Mary Rose PL
Suite 220
Bend, OR 97701-7133
Phone (541) 323-3747

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
OR 079011396N3ORMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peter E. Palacio, M.D., PC CurrentSince Apr 28, 2025 Accepting new patients

Locations

2450 NE Mary Rose Pl
Ste 220
Bend, OR 97701
Phone (541) 323-3747

2450 NE Mary Rose Pl
Ste 200
Bend, OR 97701
Phone (541) 317-0808

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.

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1265502504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 SW 17TH PL",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561254",
            "telephone_number": "541-504-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 SW 17TH PL",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561254",
            "telephone_number": "541-504-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEKS",
        "first_name": "VICTORIA",
        "middle_name": "DIMM",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "OR 079011396N3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

Verify at the official NPI Registry.