Individual provider Active NPI

Rhea Ann Bandelier, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Winston, OR
National Provider Identifier
1528627874
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP-56443 Issued in NM
Practice address
11 SW Brantley Dr
Winston, OR 97496-4526
Phone
(541) 679-0366
Fax
(541) 679-4821
NPI assigned
Jun 11, 2019
Last updated
May 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP-56443 NM Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10016074 OR

Addresses

Primary practice location

11 SW Brantley Dr
Winston, OR 97496-4526

Mailing address

11 SW Brantley Dr
Winston, OR 97496-4526
Phone (541) 679-0366

Other identifiers 1

IdentifierTypeStateIssuer
32879342MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, OR2 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

Enrollment IDStateProvider typePAC IDDetails
I20190906000851 NM Practitioner - Nurse Practitioner 5496084055 Reassigns benefits to 1 organization
I20240117000120 OR Practitioner - Nurse Practitioner 5496084055 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mid-Columbia Center for LivingGroup PAC ID 4385540186, 17 clinicians
Second Wind Mental Health ClinicGroup PAC ID 2769792183, 5 clinicians
NM Family Services LLCGroup PAC ID 3274754775, 8 clinicians

Practice addresses (Care Compare)

1060 Webber St
The Dalles, OR 97058-3749
Phone (541) 296-5452

11 SW Brantley Dr
Winston, OR 97496-4526
Phone (541) 679-0366

5312 Rio Bravo Dr
Suite 10
Santa Teresa, NM 88008-9210
Phone (575) 915-1338

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP-56443NMMDPsychiatric/Mental Health Nurse Practitioner
10016074ORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NM Family Services LLC CurrentSince Jul 19, 2023 Accepting new patients
Mid-Columbia Center for Living CurrentSince Oct 15, 2023 Accepting new patients
NM Family Services LLC Psychiatric/Mental Health CurrentSince Jul 19, 2023 Accepting new patients
Second Wind Mental Health Clinic Current Accepting new patients
Mid-Columbia Center for Living CurrentSince Jan 1, 2024 Accepting new patients
NM Integrated Solutions PastSince Jul 24, 2022 Accepting new patients
Mid-Columbia Center for Living PastSince Jan 1, 2024 Accepting new patients

Locations

5312 Rio Bravo Dr
Ste 10
Sunland Park, NM 88008

1610 Woods Ct
Hood River, OR 97031
Phone (541) 386-2620

1060 Webber St
The Dalles, OR 97058

11 SW Brantley Dr
Winston, OR 97496
Phone (541) 679-0366

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1528627874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SW BRANTLEY DR",
            "city": "WINSTON",
            "state": "OR",
            "postal_code": "974964526",
            "telephone_number": "541-679-0366",
            "fax_number": "541-679-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SW BRANTLEY DR",
            "city": "WINSTON",
            "state": "OR",
            "postal_code": "974964526",
            "telephone_number": "541-679-0366",
            "fax_number": "541-679-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDELIER",
        "first_name": "RHEA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "CNP-56443",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10016074",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32879342",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston, OR

Sources for this page

Verify at the official NPI Registry.