Active NPI
Kellen Franklyn Mandehr, DO
- Family Medicine Physician
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 211237
- Practice address
- 929 SW Simpson Ave Ste 300
Bend, OR 97702-3599 - Phone
- (541) 389-7741
- Fax
- (541) 278-8375
- NPI assigned
- May 8, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 211237 | OR | Primary |
Addresses
Primary practice location
929 SW Simpson Ave Ste 300
Bend, OR 97702-3599
Mailing address
PO Box 1517
Pendleton, OR 97801-0410
Phone (877) 708-1119
Other practice location 1
3600 NW Samaritan Dr
Corvallis, OR 97330-5472
Phone (541) 768-4906
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250828001187 | OR | Practitioner - Family Practice | 5395124721 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Praxis Health PC
Practice addresses (Care Compare)
929 SW Simpson Ave
Bend, OR 97702-3599
Phone (541) 389-7741
Hospital & facility affiliations
- St Charles Medical Center - Bend
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 211237 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Praxis Health, PC | Family Medicine | Current | Accepting new patients |
| Praxis Health, PC | Current | Accepting new patients |
Locations
929 SW Simpson Ave
Bend, OR 97702
Phone (541) 848-6642
929 SW Simpson Ave
Ste 300
Bend, OR 97702
Phone (541) 388-4333
Organizations & group practices 5
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.
-
- Rural Health Clinic/Center
- Dallas, OR
- NPI 1942925326
-
- Rural Health Clinic/Center
- McMinnville, OR
- NPI 1205641875
-
- Rural Health Clinic/Center
- La Grande, OR
- NPI 1336749621
-
- Rural Health Clinic/Center
- Pendleton, OR
- NPI 1386145993
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Bend, OR
- NPI 1164675963
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753228800000",
"number": "1457097966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1517",
"city": "PENDLETON",
"state": "OR",
"postal_code": "978010410",
"telephone_number": "877-708-1119",
"fax_number": "541-278-8349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 SW SIMPSON AVE STE 300",
"city": "BEND",
"state": "OR",
"postal_code": "977023599",
"telephone_number": "541-389-7741",
"fax_number": "541-278-8375"
}
],
"practiceLocations": [
{
"address_1": "3600 NW Samaritan Dr",
"address_purpose": "LOCATION",
"city": "Corvallis",
"state": "OR",
"postal_code": "973305472",
"country_code": "US",
"telephone_number": "541-768-4906",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANDEHR",
"first_name": "KELLEN",
"middle_name": "FRANKLYN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-08",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "211237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 23, 2025; 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.