Katie L Weller, CFNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP741A Issued in ID

Practice address

603 Medical Pkwy
Enterprise, OR 97828-5124

Phone

(541) 426-7900

Fax

(541) 426-7901

NPI assigned

May 12, 2006

Last updated

Apr 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Katie L Varin Former name

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

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wallowa County Health Care DistrictGroup PAC ID 4183537566, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wallowa Memorial Hospital Hospital, Enterprise, OR, CCN 381306

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kweller1729692@wm.providencedirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wallowa County Health Care District

  dba Wallowa Memorial Hospital

  • Critical Access Hospital Clinic/Center
  • Enterprise, OR
  • NPI 1447256250
  Medicare reassignment Care Compare group NPD
• Wallowa County Health Care District

  dba Wallowa Memorial Medical Clinic - Downtown

  • Rural Health Clinic/Center
  • Enterprise, OR
  • NPI 1295338333
  NPD
• Wallowa County Health Care District

  dba Wallowa Memorial Medical Clinic - Joseph

  • Rural Health Clinic/Center
  • Joseph, OR
  • NPI 1790167831
  NPD
• Wallowa County Health Care District

  dba Wallowa Memorial Medical Clinic - Wallowa

  • Rural Health Clinic/Center
  • Wallowa, OR
  • NPI 1508452160
  NPD (past)
• Wallowa County Health Care District

  dba Mountain View Medical - Enterprise

  • Rural Health Clinic/Center
  • Enterprise, OR
  • NPI 1528442837
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Wallowa County Health Care District

  dba Wallowa Memorial Hospital

  • Critical Access Hospital
  • Enterprise, OR
  • NPI 1558366229
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1275584534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEDICAL PKWY",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "978285124",
            "telephone_number": "541-426-7900",
            "fax_number": "541-426-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 MEDICAL PKWY",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "978285124",
            "telephone_number": "541-426-7900",
            "fax_number": "541-426-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLER",
        "first_name": "KATIE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "NP741A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807425100",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "VARIN",
            "middle_name": "L",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wallowa Valley Eye Care, Inc.
• Annie Jean Walters
• Aidan Thomas Wandschneider
• Judith A. Wandschneider, LCSW
• William C Weisz
• Nicholas Bennett West, MD
• Bonnie Leigh Wickwire, D.C. / N.D.
• Shannon Elizabeth Wiedeman, NP AND RN
• Jason Wilcox
• Winding Waters Clinic PC

• Nurse Practitioner in Enterprise, OR
• Providers in Enterprise, OR by specialty
• Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.

Verify at the official NPI Registry.