Individual provider Active NPI

Monica R Giamellaro, PA-C

  • Physician Assistant
  • Lebanon, OR
National Provider Identifier
1487855763
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA159930 Issued in OR
Practice address
35 Mullins Dr Ste 2
Lebanon, OR 97355-3985
Phone
(541) 451-7915
NPI assigned
May 31, 2007
Last updated
May 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA159930 OR Primary

Addresses

Primary practice location

35 Mullins Dr Ste 2
Lebanon, OR 97355-3985

Mailing address

815 NW 9TH St Ste 215
Corvallis, OR 97330-6173

Other practice location 1

1501 NE Medical Center Dr
Bend, OR 97701-6051
Phone (541) 382-4900

Other practice location 2

13000 SW Century Dr
Bend, OR 97702-3595
Phone (541) 706-5902

Other identifiers 1

IdentifierTypeStateIssuer
500652942MedicaidOR

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address mgiamellaro81925@secure.stcharleshealthcare.org
Direct Messaging Address mgiamellaro18194@directmsg.bmctotalcare.com Direct
Direct Messaging Address mgiamellaroagency241090@samhealth.direct-ci.com

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
I20121211000306 OR Practitioner - Physician Assistant 8628160009 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Praxis Health PCGroup PAC ID 8325941446, 174 clinicians
Bend Memorial Clinic PCGroup PAC ID 7214936533, 225 clinicians
St Charles Health System IncGroup PAC ID 8729111513, 379 clinicians

Practice addresses (Care Compare)

1140 SW Simpson Ave
Suite 100
Bend, OR 97702-3789
Phone (541) 388-2333

1501 NE Medical Ctr Dr
Bend, OR 97701-6051
Phone (541) 382-2811

333 NW Larch Ave
Suite 2
Redmond, OR 97756-1186
Phone (541) 382-4900

354 W Adams Ave
Sisters, OR 97759-2619
Phone (541) 549-9609

51781 Huntington Rd
La Pine, OR 97739-1118
Phone (541) 666-7920

815 SW Bond St
Bend, OR 97702-3593

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2442COMDProfessional Counselor
PA159930ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Charles Health System, Inc. CurrentSince Nov 17, 2025 Accepting new patients
St. Charles Health System, Inc. CurrentSince Nov 17, 2025 Accepting new patients
Praxis Health, PC CurrentSince Jan 15, 2021 Accepting new patients
Praxis Health, PC CurrentSince Jan 15, 2021 Accepting new patients
Bend Memorial Clinic PC CurrentSince Apr 15, 2021 Accepting new patients
Longs Peak Emergency Physicians, PC Past Accepting new patients
Colorado Center for Spine Medicine LLC Past Accepting new patients
Bend Memorial Clinic PC Physician Assistant Past Accepting new patients

Locations

29358 Network Pl
Chicago, IL 60673

13000 SW Century Dr
Bend, OR 97702
Phone (541) 706-5499

1501 NE Medical Center Dr
Bend, OR 97701
Phone (541) 317-4354

51781 Huntington Rd
La Pine, OR 97739
Phone (541) 666-7920

384 SE Combs Flat Rd
Ste 1200
Prineville, OR 97754
Phone (541) 447-6263

211 NW Larch Ave
Redmond, OR 97756
Phone (541) 548-2164

Interoperability endpoints

  • Direct secure messaging: mgiamellaro18194@directmsg.bmctotalcare.com
  • Direct secure messaging: mgiamellaro81925@secure.stcharleshealthcare.org
  • Direct secure messaging: urgentcare@praxismedicalgroup.directbygreenway.com

Organizations & group practices 8

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.

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": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1487855763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 NW 9TH ST STE 215",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MULLINS DR STE 2",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973553985",
            "telephone_number": "541-451-7915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 NE Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977016051",
            "country_code": "US",
            "telephone_number": "541-382-4900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13000 SW Century Dr",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977023595",
            "country_code": "US",
            "telephone_number": "541-706-5902",
            "fax_number": "541-706-5936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIAMELLARO",
        "first_name": "MONICA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA159930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500652942",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgiamellaro81925@secure.stcharleshealthcare.org",
            "affiliation": "N",
            "address_1": "13000 SW Century Dr",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977023595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgiamellaro18194@directmsg.bmctotalcare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1501 NE Medical Center Dr",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977016051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgiamellaroagency241090@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "35 Mullins Dr Ste 2",
            "city": "Lebanon",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973553985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lebanon, OR

Sources for this page

Verify at the official NPI Registry.