Active NPI
Heather Renee Maclean, RN, NMNP - PP
- Advanced Practice Midwife
- Coos Bay, OR
National Provider Identifier
1528042116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 095000395N5
- Practice address
- 1750 Thompson Rd
Coos Bay, OR 97420-2195 - Phone
- (541) 269-0333
- Fax
- (541) 269-7389
- NPI assigned
- Dec 6, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 095000395N5 | OR | Primary |
| Nurse Practitioner | 363L00000X | 095000395N5 | OR |
Addresses
Primary practice location
1750 Thompson Rd
Coos Bay, OR 97420-2195
Mailing address
1750 Thompson Rd
Coos Bay, OR 97420-2195
Phone (541) 269-0333
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 420001224 | Other | OR | RR MEDICARE PTAN NUMBER |
| 1407812365 | Other | OR | NBMC NPI NUMBER-GROUP |
| CD8723 | Other | OR | RR MEDICARE GROUP NUMBER |
| 090501 | Medicaid | OR | |
| R0000WFBTV | Other | OR | MEDICARE GROUP PIN NUMBER |
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100111000240 | OR | Practitioner - Certified Nurse Midwife (CNM) | 6901947191 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Bay Clinic
Practice addresses (Care Compare)
1750 Thompson Rd
Coos Bay, OR 97420-2100
Phone (541) 269-0333
Hospital & facility affiliations
- Bay Area Hospital
- Southern Coos Hospital & Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Clinic | Current | Accepting new patients |
Locations
1750 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-0333
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/bea62b1d-5b0c-4c1a-bdbd-eaa129312421/
Organizations & group practices 1
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 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": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1528042116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 THOMPSON RD",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974202195",
"telephone_number": "541-269-0333",
"fax_number": "541-269-7389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 THOMPSON RD",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974202195",
"telephone_number": "541-269-0333",
"fax_number": "541-269-7389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACLEAN",
"first_name": "HEATHER",
"middle_name": "RENEE",
"credential": "RN, NMNP - PP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-06",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "OR",
"license": "095000395N5",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OR",
"license": "095000395N5",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PTAN NUMBER",
"identifier": "420001224",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBMC NPI NUMBER-GROUP",
"identifier": "1407812365",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP NUMBER",
"identifier": "CD8723",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "090501",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PIN NUMBER",
"identifier": "R0000WFBTV",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coos Bay, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.