Cascade Lakes Urology LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

CASCADE LAKES UROLOGY LLC

Practice address

431 NE Revere Ave Ste 200
Bend, OR 97701-4192

Phone

(541) 508-7973

Fax

(541) 508-7968

NPI assigned

Mar 11, 2025

Last updated

Mar 19, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Denise Chase

Title

Practice Administrator

Phone

(541) 615-1665

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marta S Johnson-Mitchell, DO

  • Urology Physician
  • Bend, OR
  • NPI 1356570055
  Medicare reassignment Care Compare group NPD
• Andrew David Neeb, MD

  • Urology Physician
  • Bend, OR
  • NPI 1225064421
  Medicare reassignment Care Compare group NPD
• Suzanne La Lande, PA-C

  • Physician Assistant
  • Bend, OR
  • NPI 1114477833
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1376342469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 NE REVERE AVE STE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014192",
            "telephone_number": "541-508-7973",
            "fax_number": "833-438-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 NE REVERE AVE STE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014192",
            "telephone_number": "541-508-7973",
            "fax_number": "541-508-7968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE LAKES UROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-11",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "CHASE",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "541-615-1665"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cascade Healthcare Community (St Charles Immediate Care Clinic)
• Cascade Healthcare Community Inc (NW High Desert Sleep Center Bend)
• Cascade in Home Care, LLC (Right at Home Central Oregon)
• Cascade Internal Medicine Specialists LLC
• Cascade Kids Dental (Zooka Super Toothcare For Kids)
• Cascade Medical Care,LLC
• Cascade Medical Imaging LLC
• Cascade Medical Imaging LLC
• Cascade Medical Imaging LLC
• Cascade Medical Imaging LLC

• Urology Physician in Bend, OR
• Providers in Bend, OR by specialty
• Urology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.