Active NPI
Michelle Ladonna Kelley, APRN-NP
- Nurse Practitioner
- Springfield, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 201501683NP-PP
- Practice address
- 3377 Riverbend Dr
Springfield, OR 97477-8803 - Phone
- (541) 222-6389
- Fax
- (541) 222-6385
- NPI assigned
- Oct 19, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 103996 | WI | |
| Nurse Practitioner | 363L00000X | 201501683NP-PP | OR | Primary |
| Nurse Practitioner | 363L00000X | 19143 | WI |
Addresses
Primary practice location
3377 Riverbend Dr
Springfield, OR 97477-8803
Mailing address
3377 Riverbend Dr
Springfield, OR 97477-8803
Phone (360) 729-1253
Other practice location 1
130 2nd St
Neenah, WI 54956-2883
Phone (920) 735-7645
Other practice location 2
1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 725-7645
Other practice location 3
665 Winter St SE
Salem, OR 97301-3934
Phone (503) 561-5200
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2801 NW Mercy Dr
Suite 350
Roseburg, OR 97471-2349
Phone (541) 222-2700
3311 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-7218
3333 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-7300
3355 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-6113
890 Oak St SE
Salem, OR 97301-3905
Phone (503) 561-5200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Nurse Practitioner | Current | Accepting new patients |
| Salem Health West Valley | Current | Accepting new patients | |
| Salem Health | Current | Accepting new patients | |
| Salem Health | Current | Accepting new patients | |
| Salem Health | Current | Accepting new patients | |
| Roswell Clinic Corp | Past | Accepting new patients | |
| The Healthcaring Clinic of Georgia, LLC | Family | Past | Accepting new patients |
| David E Kim MD PC | Past | Accepting new patients |
Locations
525 SE Washington St
Dallas, OR 97338
Phone (503) 623-7344
1601 Monmouth St
Ste 100
Independence, OR 97351
Phone (503) 623-8301
2801 NW Mercy Dr
Ste 350
Roseburg, OR 97471
Phone (541) 222-2700
665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634
890 Oak St SE
Salem, OR 97301
Phone (503) 585-0830
3333 Riverbend Dr
Springfield, OR 97477
Phone (541) 222-3154
1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253
Interoperability endpoints
- mkelley72488@direct.peacehealth.org
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 and National Provider Directory roles.
-
dba Sacred Heart Physicians
- Hospitalist Physician
- Springfield, OR
- NPI 1740223874
Nurse Practitioner
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
-
- Critical Access Hospital
- Dallas, OR
- NPI 1245237486
-
- Durable Medical Equipment & Medical Supplies
- Keizer, OR
- NPI 1487434775
-
- Family Medicine Physician
- Woodburn, OR
- NPI 1578112066
-
- Internal Medicine Physician
- Cartersville, GA
- NPI 1194919381
-
- Family Medicine Physician
- Roswell, NM
- NPI 1649267618
-
- Family Nurse Practitioner
- Cartersville, GA
- NPI 1669539508
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Eugene, OR
- NPI 1568236974
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1558443515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3377 RIVERBEND DR",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974778803",
"telephone_number": "360-729-1253",
"fax_number": "360-729-3185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3377 RIVERBEND DR",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974778803",
"telephone_number": "541-222-6389",
"fax_number": "541-222-6385"
}
],
"practiceLocations": [
{
"address_1": "130 2nd St",
"address_purpose": "LOCATION",
"city": "Neenah",
"state": "WI",
"postal_code": "549562883",
"country_code": "US",
"telephone_number": "920-735-7645",
"fax_number": "920-735-7618",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1818 N Meade St",
"address_purpose": "LOCATION",
"city": "Appleton",
"state": "WI",
"postal_code": "549113454",
"country_code": "US",
"telephone_number": "920-725-7645",
"fax_number": "920-735-7618",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "665 Winter St SE",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "OR",
"postal_code": "973013934",
"country_code": "US",
"telephone_number": "503-561-5200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELLEY",
"first_name": "MICHELLE",
"middle_name": "LADONNA",
"credential": "APRN-NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "103996",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OR",
"license": "201501683NP-PP",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "19143",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; 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.