Individual provider Active NPI

Melissa Rene Olin, FNP, RN

  • Family Nurse Practitioner
  • Bend, OR
National Provider Identifier
1336571629
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201250180NP Issued in OR
Practice address
2965 NE Conners Ave
Suite 280
Bend, OR 97701
Phone
(541) 323-4269
NPI assigned
Aug 8, 2013
Last updated
Sep 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95020134 CA
Family Nurse Practitioner 363LF0000X APRN11014896 FL
Family Nurse Practitioner 363LF0000X RN308282 GA
Family Nurse Practitioner 363LF0000X APRN-5233-0 HI
Family Nurse Practitioner 363LF0000X 209025628 IL
Family Nurse Practitioner 363LF0000X 5015817 NC
Family Nurse Practitioner 363LF0000X 78010 NM
Family Nurse Practitioner 363LF0000X 886677 NV
Family Nurse Practitioner 363LF0000X 349236 NY
Family Nurse Practitioner 363LF0000X 1050279 TX
Family Nurse Practitioner 363LF0000X 0024183263 VA
Family Nurse Practitioner 363LF0000X AP61223702 WA
Family Nurse Practitioner 363LF0000X 201250180NP OR Primary
Registered Nurse 163W00000X 201242749RN OR

Addresses

Primary practice location

2965 NE Conners Ave
Suite 280
Bend, OR 97701

Mailing address

1901 E 1St St
PO Box 467
Newton, KS 67114-0467
Phone (316) 284-6402

Other practice location 1

1 Hawthorne St Unit 23D
San Francisco, CA 94105-3984
Phone (347) 943-8131

Other practice location 2

64 Bleecker St # 151
New York, NY 10012-2410
Phone (917) 810-3965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
201242749RNORMDRegistered Nurse
95020134CAMDFamily Nurse Practitioner
APRN11014896FLMDFamily Nurse Practitioner
RN308282GAMDFamily Nurse Practitioner
APRN-5233-0HIMDFamily Nurse Practitioner
209025628ILMDFamily Nurse Practitioner
5015817NCMDFamily Nurse Practitioner
78010NMMDFamily Nurse Practitioner
886677NVMDFamily Nurse Practitioner
349236NYMDFamily Nurse Practitioner
201250180NPORMDFamily Nurse Practitioner
1050279TXMDFamily Nurse Practitioner
0024183263VAMDFamily Nurse Practitioner
AP61223702WAMDFamily Nurse Practitioner

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: melissa.olin@450368864321540.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1336571629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 E 1ST ST",
            "address_2": "PO BOX 467",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671140467",
            "telephone_number": "316-284-6402",
            "fax_number": "316-284-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 NE CONNERS AVE",
            "address_2": "SUITE 280",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97701",
            "telephone_number": "541-323-4269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Hawthorne St Unit 23D",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941053984",
            "country_code": "US",
            "telephone_number": "347-943-8131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "64 Bleecker St # 151",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100122410",
            "country_code": "US",
            "telephone_number": "917-810-3965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIN",
        "first_name": "MELISSA",
        "middle_name": "RENE",
        "credential": "FNP, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-08",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95020134",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11014896",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN308282",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-5233-0",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209025628",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5015817",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "78010",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "886677",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "349236",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1050279",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024183263",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61223702",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201250180NP",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201242749RN",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.