Claire Kugler Biolatto, NP
Individual provider Active NPI Family Nurse Practitioner · Bend, OR
NPI 1386129294 · NPPES record last updated Nov 1, 2021
Key facts
- NPI
- 1386129294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 202000932 (OR)
- Practice address
- 2065 NE Tucson Way Apt 110
Bend, OR 97701-5182 - Phone
- (541) 383-3005
- NPI assigned
- Sep 26, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mosaic Community Health
Practice addresses (Care Compare)
2084 NE Professional CT
Bend, OR 97701-6077
Phone (541) 383-3005
Hospital & facility affiliations
- St Charles Medical Center - Bend
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200407004044 | OR | Practitioner - Nurse Practitioner | 0042649303 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95010062 | CA | MD | Family Nurse Practitioner |
| 202000932 | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mosaic Community Health | Current |
Accepting new patients |
Locations
2084 NE Professional Ct
Bend, OR 97701
Phone (541) 322-5753
2065 NE Tucson Way
Apt 110
Bend, OR 97701
Phone (541) 373-3005
600 SW Columbia St
Ste 6250
Bend, OR 97702
375 NW Beaver St
Ste 101
Prineville, OR 97754
Phone (541) 316-6026
Interoperability endpoints
- ckugler292659@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95010062 | CA | |
| Family Nurse Practitioner | 363LF0000X | 202000932 | OR | Yes |
Addresses
Primary practice location
2065 NE Tucson Way Apt 110
Bend, OR 97701-5182
Mailing address
1915 NW 2ND St
Bend, OR 97703-1203
Phone (510) 543-4353
Other providers in Bend, OR
- Bigtree Behavioral Health Services LLC
- Diana Marie Billing
- Joellen Billington
- Kristen Freeman Bingaman
- Ashley M Bingenheimer
- Ann Bridget Bird
- Birgit Show Licensed Professional Counselor
- Jane Marie Birschbach
- Timothy B Bisby
- Erin Arnold Bishop
All providers in Bend, OR · Family Nurse Practitioner in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.