Dean Robins Wentworth, FNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

200750106 Issued in OR

Practice address

6645 Gleneden Beach Loop Ste 1152
Gleneden Beach, OR 97388

Phone

(971) 409-3985

NPI assigned

Jul 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR, KS2 enrollments

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 2

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Flint Hills Pain Management PA

  • Interventional Pain Medicine Physician
  • Manhattan, KS
  • NPI 1306103932
  Medicare reassignment NPD
• Pain Relief Institute, LLC

  • Interventional Pain Medicine Physician
  • Medford, OR
  • NPI 1629331293
  Medicare reassignment
• Northwest Primary Care Group, PC

  • Family Medicine Physician
  • Milwaukie, OR
  • NPI 1558572180
  NPD (past)
• Heartland Pain Management , LLC

  • Pain Medicine (Anesthesiology) Physician
  • Manhattan, KS
  • NPI 1972574937
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1528268034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1152",
            "address_2": "235 LORRAINE STREET",
            "city": "GLENEDEN BEACH",
            "state": "OR",
            "postal_code": "97388",
            "telephone_number": "971-409-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6645 GLENEDEN BEACH LOOP STE 1152",
            "city": "GLENEDEN BEACH",
            "state": "OR",
            "postal_code": "97388",
            "telephone_number": "971-409-3985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 Lorraine St",
            "address_purpose": "LOCATION",
            "city": "Gleneden Beach",
            "state": "OR",
            "postal_code": "97388",
            "country_code": "US",
            "telephone_number": "971-409-3985",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 Lorraine St",
            "address_purpose": "LOCATION",
            "city": "Gleneden Beach",
            "state": "OR",
            "postal_code": "97388",
            "country_code": "US",
            "telephone_number": "971-409-3985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENTWORTH",
        "first_name": "DEAN",
        "middle_name": "ROBINS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KS",
            "license": "75068",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "2007501060NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200750106NP",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "200750106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274493",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Leah Resnikoff, LMFT
• Kathleen Diane Rich, PHD LCSW
• Sara Vanwinkle
• Vinod K Vinjamuri, MD
• Vinod K Vinjamuri MD LLC

• Adult Health Nurse Practitioner in Gleneden Beach, OR
• Providers in Gleneden Beach, OR by specialty
• Adult Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.