Active NPI
Alexa Christine Smith-Ellison, RN, CNM, WHNP
- Advanced Practice Midwife
- Bend, OR
National Provider Identifier
1366835670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 235726
- Practice address
- 2400 NE Neff Rd Ste a
Bend, OR 97701-6752 - Phone
- (541) 389-3300
- Fax
- (541) 389-8115
- NPI assigned
- Mar 11, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 95002125 | CA | |
| Advanced Practice Midwife | 367A00000X | 235726 | CA | Primary |
Addresses
Primary practice location
2400 NE Neff Rd Ste a
Bend, OR 97701-6752
Mailing address
2400 NE Neff Rd Ste a
Bend, OR 97701-6752
Phone (541) 389-3300
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 NE Neff Rd
Suite a
Bend, OR 97701-6752
Phone (541) 389-3300
Hospital & facility affiliations
- St Charles Medical Center - Bend
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95002125 | CA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Cascade Womens Group, P C | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Past | Accepting new patients | |
| St. Charles Health System, Inc. | Past | Accepting new patients |
Locations
2400 NE Neff Rd
Ste A
Bend, OR 97701
Phone (541) 389-3300
Interoperability endpoints
- asmithellison24435@coipa.gardenplot.direct-ci.com
- asmithellison297443@hisp.ehr.sutterhealth.org
- https://epicproxy.et4001.epichosted.com/APIProxyPRD/ECWG/api/FHIR/R4
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Bend, OR
- NPI 1770541609
-
- Rehabilitation Hospital Unit
- Bend, OR
- NPI 1154343150
-
- General Acute Care Hospital
- Bend, OR
- NPI 1982621447
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Bend, OR
- NPI 1164675963
Hospital
-
- General Acute Care Hospital
- Bend, OR
- NPI 1982621447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1366835670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 NE NEFF RD STE A",
"city": "BEND",
"state": "OR",
"postal_code": "977016752",
"telephone_number": "541-389-3300",
"fax_number": "541-389-8115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 NE NEFF RD STE A",
"city": "BEND",
"state": "OR",
"postal_code": "977016752",
"telephone_number": "541-389-3300",
"fax_number": "541-389-8115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH-ELLISON",
"first_name": "ALEXA",
"middle_name": "CHRISTINE",
"name_prefix": "Ms.",
"credential": "RN, CNM, WHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-11",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CA",
"license": "95002125",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "CA",
"license": "235726",
"primary": true
}
],
"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 May 18, 2023; 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.