Individual provider Active NPI

Mary Ocanada, FNP-BC

  • Family Nurse Practitioner
  • North Bend, OR
National Provider Identifier
1407739030
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10047066 Issued in OR
Practice address
1226 Virginia Ave
North Bend, OR 97459-2716
Phone
(541) 305-4224
NPI assigned
Jul 30, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 10047066 OR Primary

Addresses

Primary practice location

1226 Virginia Ave
North Bend, OR 97459-2716

Mailing address

1226 Virginia Ave
North Bend, OR 97459-2716
Phone (541) 305-4224

Other practice location 1

1775 Thompson Rd
Coos Bay, OR 97420-2198
Phone (541) 269-8111

Other practice location 2

1226 Virginia Ave
North Bend, OR 97459-2716
Phone (541) 305-4224

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
I20250910002176 OR Practitioner - Nurse Practitioner 8628571387 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icco LLCGroup PAC ID 1355406729, 133 clinicians
Bay Area Hospital DistrictGroup PAC ID 2163331000, 117 clinicians

Practice addresses (Care Compare)

1226 Virginia Ave
North Bend, OR 97459-2716
Phone (541) 640-7625

1775 Thompson Rd
Coos Bay, OR 97420-2125
Phone (541) 269-8280

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Hospital District CurrentSince Nov 4, 2025 Accepting new patients
Icco LLC CurrentSince Sep 2, 2025 Accepting new patients
Icco, LLC Multi-Specialty Current Accepting new patients
Bay Area Hospital District Multi-Specialty CurrentSince Nov 4, 2025 Accepting new patients
Icco LLC CurrentSince Sep 2, 2025 Accepting new patients
Icco, LLC Multi-Specialty Past Accepting new patients

Locations

Dept LA 25339
Pasadena, CA 91185

600 Jefferson St
Ste 600
Lafayette, LA 70501
Phone (337) 202-0720

2910 Santiam Hwy SE
Ste A
Albany, OR 97322
Phone (541) 406-3899

108 NW Sisemore St
Ste 120
Bend, OR 97703
Phone (541) 213-2133

2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411

1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090

598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473

3675 Pacific Ave
#101
Forest Grove, OR 97116
Phone (971) 762-4611

1890 NW 6th St
Grants Pass, OR 97526
Phone (541) 507-0684

3737 Shasta Way
Ste A
Klamath Falls, OR 97603
Phone (541) 883-2337

3400 Cooperative Way
Lebanon, OR 97355
Phone (541) 333-6605

1226 Virginia Ave
North Bend, OR 97459
Phone (541) 305-4224

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 1

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": "1753833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1407739030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 VIRGINIA AVE",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974592716",
            "telephone_number": "541-305-4224",
            "fax_number": "541-305-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 VIRGINIA AVE",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974592716",
            "telephone_number": "541-305-4224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1775 Thompson Rd",
            "address_purpose": "LOCATION",
            "city": "Coos Bay",
            "state": "OR",
            "postal_code": "974202198",
            "country_code": "US",
            "telephone_number": "541-269-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1226 Virginia Ave",
            "address_purpose": "LOCATION",
            "city": "North Bend",
            "state": "OR",
            "postal_code": "974592716",
            "country_code": "US",
            "telephone_number": "541-305-4224",
            "fax_number": "541-305-4227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OCANADA",
        "first_name": "MARY",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10047066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bend, OR

Sources for this page

Verify at the official NPI Registry.