Individual provider Active NPI

Yvonne L. Fenrich, WHCNP, MSN

  • Advanced Practice Midwife
  • North Bend, OR
National Provider Identifier
1376588111
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
093000329N5/RN Issued in OR
Practice address
1229, 1890 Waite St #1
North Bend, OR 97459
Phone
(541) 756-6232
NPI assigned
Jun 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 093000329N5/RN OR Primary

Addresses

Primary practice location

1229, 1890 Waite St #1
North Bend, OR 97459

Mailing address

705 Elm St SW
Albany, OR 97321-1956
Phone (541) 812-4850

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
I20191205001818 OR Practitioner - Nurse Practitioner 1759369465 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bay ClinicGroup PAC ID 9638164874, 13 clinicians

Practice addresses (Care Compare)

1750 Thompson Rd
Coos Bay, OR 97420-2100
Phone (541) 269-0333

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
093000329N5/RNORMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Waterfall Clinic Incorporated CurrentSince Aug 1, 2019 Accepting new patients
Waterfall Clinic, Incorporated CurrentSince Aug 1, 2019 Accepting new patients
North Bend Medical Center Inc CurrentSince Apr 1, 2020 Accepting new patients
Bay Clinic CurrentSince Aug 1, 2021 Accepting new patients
Good Samaritan Hospital Corvallis Past Accepting new patients
Firstcare Medical Foundation Past Accepting new patients

Locations

1750 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-0333

1900 Woodland Dr
Coos Bay, OR 97420
Phone (541) 267-5151

1890 Waite St
Ste 1
North Bend, OR 97459
Phone (541) 435-7033

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/bea62b1d-5b0c-4c1a-bdbd-eaa129312421/

Organizations & group practices 6

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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1376588111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 ELM ST SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211956",
            "telephone_number": "541-812-4850",
            "fax_number": "541-812-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229, 1890 WAITE ST #1",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "97459",
            "telephone_number": "541-756-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENRICH",
        "first_name": "YVONNE",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "WHCNP, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "093000329N5/RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bend, OR

Sources for this page

Verify at the official NPI Registry.