Individual provider Active NPI

Wendy Renee Hounsel, FNP

  • Family Nurse Practitioner
  • Springfield, OR
National Provider Identifier
1376009282
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201901326NP-PP Issued in OR
Practice address
2280 Marcola Rd
Springfield, OR 97477-2594
Phone
(541) 747-4300
NPI assigned
Feb 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201901326NP-PP OR Primary

Addresses

Primary practice location

2280 Marcola Rd
Springfield, OR 97477-2594

Mailing address

2280 Marcola Rd
Springfield, OR 97477-2594
Phone (541) 747-4300

Other practice location 1

1800 Centennial Blvd
Springfield, OR 97477-4379
Phone (541) 747-4300

Other practice location 2

21 Hayden Bridge Way
Springfield, OR 97477-1305
Phone (541) 747-4300

Other identifiers 1

IdentifierTypeStateIssuer
500760898MedicaidOR

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
I20190715002522 OR Practitioner - Nurse Practitioner 1355676230 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
Gutierrez Holistic Family Medicine LLCGroup PAC ID 8628227873, 2 clinicians

Practice addresses (Care Compare)

1717 Centennial Blvd
Suite 7
Springfield, OR 97477-3378
Phone (458) 205-5907

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gutierrez Holistic Family Medicine LLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

1717 Centennial Blvd
Ste 7
Springfield, OR 97477
Phone (458) 205-5907

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21748/brand/1/csg/1/fhir/r4
  • Direct secure messaging: wendy.hounsel.1@21748.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1376009282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 MARCOLA RD",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974772594",
            "telephone_number": "541-747-4300",
            "fax_number": "541-747-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 MARCOLA RD",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974772594",
            "telephone_number": "541-747-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Centennial Blvd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974774379",
            "country_code": "US",
            "telephone_number": "541-747-4300",
            "fax_number": "541-747-0655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Hayden Bridge Way",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974771305",
            "country_code": "US",
            "telephone_number": "541-747-4300",
            "fax_number": "541-747-0655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOUNSEL",
        "first_name": "WENDY",
        "middle_name": "RENEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-15",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201901326NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500760898",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

Verify at the official NPI Registry.