Individual provider Active NPI

Vivienne M. Kelley, CNP

  • Nurse Practitioner
  • Springfield, OR
National Provider Identifier
1306309117
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10026337 Issued in OR
Practice address
3355 Riverbend Dr Ste 240
Springfield, OR 97477-8800
Phone
(541) 683-5001
Fax
(541) 683-1422
NPI assigned
Apr 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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 10026337 OR Primary

Addresses

Primary practice location

3355 Riverbend Dr Ste 240
Springfield, OR 97477-8800

Mailing address

300 S Diamond Ave
Deming, NM 88030-3752
Phone (575) 546-4336

Other identifiers 1

IdentifierTypeStateIssuer
500845664MedicaidOR

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
I20241218001783 OR Practitioner - Nurse Practitioner 9436487600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

520 Country Club Pkwy
Eugene, OR 97401-6043
Phone (541) 683-5001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Associates of Oregon P C CurrentSince Oct 3, 2024 Accepting new patients
Oncology Associates of Oregon P C CurrentSince Oct 3, 2024 Accepting new patients

Locations

520 Country Club Pkwy
Eugene, OR 97401
Phone (541) 681-4948

3500 Chad Dr
Ste 300
Eugene, OR 97408

3355 Riverbend Dr
Ste 240
Springfield, OR 97477
Phone (541) 687-1712

Interoperability endpoints

  • Direct secure messaging: vkelley@yourcarecommunity.org
  • Direct secure messaging: vivienne.kelley@wvci.ikm.direct-ci.com

Organizations & group practices 2

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 4

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": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1306309117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S DIAMOND AVE",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880303752",
            "telephone_number": "575-546-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 RIVERBEND DR STE 240",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974778800",
            "telephone_number": "541-683-5001",
            "fax_number": "541-683-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "VIVIENNE",
        "middle_name": "M.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-09",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "10026337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500845664",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

Verify at the official NPI Registry.