Individual provider Active NPI

Leah Westerdahl Gaedeke, MSN, FNP-C

  • Family Nurse Practitioner
  • Eugene, OR
National Provider Identifier
1336185677
Registry record updated Sep 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200450116NP Issued in OR
Practice address
600 Country Club Rd
Eugene, OR 97401-2240
Phone
(541) 228-3400
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024165811 VA
Acute Care Nurse Practitioner 363LA2100X 200450116NP-PP OR
Family Nurse Practitioner 363LF0000X 200450116NP OR Primary

Addresses

Primary practice location

600 Country Club Rd
Eugene, OR 97401-2240

Mailing address

PO Box 1648
Eugene, OR 97440-1648

Other practice location 1

12672 NW Barnes Rd. Suite 100
Portland, OR 97229
Phone (503) 747-6376

Other identifiers 2

IdentifierTypeStateIssuer
P00818471OtherORRR MEDICARE - PHS
272568MedicaidOR

Other names 1

  • Leah Pauline Westerdahl Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lgaedeke109955@oc.providencedirect.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
I20080717000251 OR Practitioner - Nurse Practitioner 3072505346 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sports Health Northwest IncGroup PAC ID 2668894411, 2 clinicians
Oregon Healthcare Resources LLCGroup PAC ID 4486835477, 160 clinicians

Practice addresses (Care Compare)

12672 NW Barnes Rd
Suite 100
Portland, OR 97229-6191
Phone (503) 747-6376

600 Country Club Rd
Eugene, OR 97401-2240
Phone (541) 345-0600

Hospital & facility affiliations

  • Sacred Heart Medical Center - Riverbend Hospital, Springfield, OR, CCN 380102

Merit-based Incentive Payment System (MIPS)

Final score
63.97 of 100Reported as group
Quality
79.08
Promoting interoperability
0
Improvement activities
40
Cost
84.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
200450116NP-PPORMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Healthcare Resources, LLC CurrentSince Sep 23, 2024 Accepting new patients
Sports Health Northwest Inc CurrentSince Sep 18, 2023 Accepting new patients
James L. Bicksel, MD, PLLC PastSince Jan 7, 2008 Accepting new patients
Mishra & Mishra, MD, PA Past Accepting new patients
Sam'S Neurology, LLC Past Accepting new patients

Locations

600 Country Club Rd
Eugene, OR 97401
Phone (541) 242-4172

12672 NW Barnes Rd
Ste 100
Portland, OR 97229
Phone (503) 336-0169

9600 SW Barnes Rd
Ste 150
Portland, OR 97225
Phone (503) 747-6376

2000 N 19th St
Springfield, OR 97477
Phone (541) 284-1694

Interoperability endpoints

  • Direct secure messaging: lgaedeke124542@westdirect.optum.com
  • Direct secure messaging: lgaedeke109955@oc.providencedirect.org
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758412800000",
    "number": "1336185677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1648",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974401648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 COUNTRY CLUB RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012240",
            "telephone_number": "541-228-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12672 NW Barnes Rd. Suite 100",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "97229",
            "country_code": "US",
            "telephone_number": "503-747-6376",
            "fax_number": "503-530-8406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAEDEKE",
        "first_name": "LEAH",
        "middle_name": "WESTERDAHL",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2025-09-21",
        "certification_date": "2025-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024165811",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OR",
            "license": "200450116NP-PP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200450116NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE - PHS",
            "identifier": "P00818471",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272568",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lgaedeke109955@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "9135 SW Barnes Rd Ste 461",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972256643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "WESTERDAHL",
            "middle_name": "PAULINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.