Active NPI
Jennifer Gunnell, M.D.
- Nephrology Physician
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 172030
- Practice address
- 2500 NE Neff Road
Bend, OR 97701 - Phone
- (541) 706-6892
- Fax
- (541) 706-6813
- NPI assigned
- Feb 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | G78785 | CA | |
| Nephrology Physician | 207RN0300X | 49633 | MT | |
| Nephrology Physician | 207RN0300X | 172030 | OR | Primary |
Addresses
Primary practice location
2500 NE Neff Road
Bend, OR 97701
Mailing address
PO Box 6095
Bend, OR 97708-6095
Phone (541) 706-6892
Other practice location 1
500 W Broadway St Fl 4
Missoula, MT 59802-4008
Phone (406) 327-1900
Other practice location 2
3615 NW Samaritan Dr Ste 203
Corvallis, OR 97330-3771
Phone (541) 768-6930
Other practice location 3
1101 26th St S
Great Falls, MT 59405-5161
Phone (406) 731-8888
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jgunnell26922@secure.stcharleshealthcare.org | ||
| Direct Messaging Address | jgunnell239389@samhealth.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Utah School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Charles Health System Inc
Practice addresses (Care Compare)
1101 26TH St S
Great Falls, MT 59405-5161
Phone (406) 455-5000
1253 NW Canal Blvd
Redmond, OR 97756-1334
Phone (541) 548-8131
2500 NE Neff Rd
Bend, OR 97701-6015
Phone (541) 706-2768
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G78785 | CA | MD | Nephrology Physician |
| 49633 | MT | MD | Nephrology Physician |
| 172030 | OR | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benefis Hospitals Inc | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| Tuality Medical Group LLC | Current | Accepting new patients | |
| Tuality Healthcare | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| Tuality Healthcare | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| Tuality Medical Group LLC | Current | Accepting new patients | |
| Good Shepherd Health Care System | Current | Accepting new patients | |
| Veterans Home of California | Past | Accepting new patients |
Locations
1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901
29358 Network Pl
Chicago, IL 60673
2800 11th Ave S
Great Falls, MT 59405
Phone (406) 453-3662
1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132
1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690
2500 NE Neff Rd
Bend, OR 97701
Phone (541) 388-4333
610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400
335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111
470 NE A St
Madras, OR 97741
Phone (541) 383-3668
384 SE Combs Flat Rd
Prineville, OR 97754
Phone (541) 383-3668
1253 NW Canal Blvd
Redmond, OR 97756
Phone (541) 548-8131
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Benefis Medical Group
- Multi-Specialty Clinic/Center
- Great Falls, MT
- NPI 1780968974
-
dba Good Shepherd Medical Center
- Critical Access Hospital
- Hermiston, OR
- NPI 1295789667
-
dba St. Charles - Madras
- Critical Access Hospital
- Madras, OR
- NPI 1356389894
-
dba St. Charles Prineville
- Critical Access Hospital
- Prineville, OR
- NPI 1710160445
-
dba St. Charles Bend
- General Acute Care Hospital
- Bend, OR
- NPI 1982621447
-
dba Hillsboro Medical Center
- General Acute Care Hospital
- Hillsboro, OR
- NPI 1275591984
-
- Internal Medicine Physician
- Hillsboro, OR
- NPI 1073929782
-
dba St. Charles Medical Center - Bend
- Rehabilitation Hospital Unit
- Bend, OR
- NPI 1154343150
-
- Psychiatric Hospital
- Hillsboro, OR
- NPI 1073817714
-
dba Hillsboro Medical Center Neurology Clinic
- Neurology Physician
- Hillsboro, OR
- NPI 1639690704
-
- Skilled Nursing Facility
- Yountville, CA
- NPI 1104811751
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba NW High Desert Sleep Center Bend
- Sleep Disorder Diagnostic Clinic/Center
- Bend, OR
- NPI 1164675963
Hospital
-
dba St. Charles Bend
- General Acute Care Hospital
- Bend, OR
- NPI 1982621447
-
dba Benefis Medical Group
- Multi-Specialty Clinic/Center
- Great Falls, MT
- NPI 1780968974
Hospital
-
- General Acute Care Hospital
- Great Falls, MT
- NPI 1881650737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677801600000",
"number": "1386611234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6095",
"city": "BEND",
"state": "OR",
"postal_code": "977086095",
"telephone_number": "541-706-6892",
"fax_number": "541-706-6813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 NE NEFF ROAD",
"city": "BEND",
"state": "OR",
"postal_code": "97701",
"telephone_number": "541-706-6892",
"fax_number": "541-706-6813"
}
],
"practiceLocations": [
{
"address_1": "500 W Broadway St Fl 4",
"address_purpose": "LOCATION",
"city": "Missoula",
"state": "MT",
"postal_code": "598024008",
"country_code": "US",
"telephone_number": "406-327-1900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3615 NW Samaritan Dr Ste 203",
"address_purpose": "LOCATION",
"city": "Corvallis",
"state": "OR",
"postal_code": "973303771",
"country_code": "US",
"telephone_number": "541-768-6930",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1101 26th St S",
"address_purpose": "LOCATION",
"city": "Great Falls",
"state": "MT",
"postal_code": "594055161",
"country_code": "US",
"telephone_number": "406-731-8888",
"fax_number": "406-731-8318",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUNNELL",
"first_name": "JENNIFER",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-28",
"last_updated": "2023-03-03",
"certification_date": "2023-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "G78785",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MT",
"license": "49633",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "OR",
"license": "172030",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jgunnell26922@secure.stcharleshealthcare.org",
"affiliation": "N",
"address_1": "2500 NE Neff Road",
"city": "Bend",
"state": "OR",
"country_code": "US",
"postal_code": "97701",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jgunnell239389@samhealth.direct-ci.com",
"affiliation": "N",
"address_1": "3615 NW Samaritan Dr Ste 203",
"city": "Corvallis",
"state": "OR",
"country_code": "US",
"postal_code": "973303771",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 3, 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.