Active NPI
Yvette M Gaynor, NP
- Family Nurse Practitioner
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 200550094 FNP PP
- Practice address
- 1501 NE Medical Center Dr
Bend, OR 97701-6051 - Phone
- (541) 382-2811
- NPI assigned
- Jan 2, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 200550094 FNP PP | OR | Primary |
Addresses
Primary practice location
1501 NE Medical Center Dr
Bend, OR 97701-6051
Mailing address
1501 NE Medical Center Dr
Bend, OR 97701-6051
Phone (541) 382-2811
Other practice location 1
1228 NW Canal Blvd
Redmond, OR 97756-1335
Phone (541) 923-3970
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ygaynor17351@directmsg.bmctotalcare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060214000715 | OR | Practitioner - Nurse Practitioner | 6305851239 | Reassigns benefits to 2 organizations |
| I20240120000404 | TX | Practitioner - Nurse Practitioner | 6305851239 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200550094 FNP PP | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DCS Medical PA | Current | Accepting new patients | |
| Bend Memorial Clinic PC | Current | Accepting new patients | |
| McMinnville Immediate Health Care LLC | Current | Accepting new patients | |
| DCS Medical PA | Current | Accepting new patients | |
| Bend Memorial Clinic PC | Family | Current | Accepting new patients |
| C,L and W PLLC | Current | Accepting new patients | |
| DCS Medical PA | Past | Accepting new patients |
Locations
1501 NE Medical Center Dr
Bend, OR 97701
Phone (541) 317-4354
207 NE 19th St
McMinnville, OR 97128
Phone (503) 435-1077
4009 Ridgemont Dr
Abilene, TX 79606
Phone (325) 232-8830
3201 University Dr E
Ste 135
Bryan, TX 77802
Phone (979) 703-1832
805 Hill Blvd
Unit 102
Granbury, TX 76048
Phone (817) 346-5920
4518 Kemp Blvd
Wichita Falls, TX 76308
Phone (254) 328-0550
3701 Fairway Blvd
Ste 114
Wichita Falls, TX 76310
Phone (325) 701-9270
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 and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Bend, OR
- NPI 1972144913
-
- Rural Health Clinic/Center
- Bonham, TX
- NPI 1063138741
-
- Rural Health Clinic/Center
- Greenville, TX
- NPI 1912641432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611878400000",
"number": "1588721237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 NE MEDICAL CENTER DR",
"city": "BEND",
"state": "OR",
"postal_code": "977016051",
"telephone_number": "541-382-2811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 NE MEDICAL CENTER DR",
"city": "BEND",
"state": "OR",
"postal_code": "977016051",
"telephone_number": "541-382-2811"
}
],
"practiceLocations": [
{
"address_1": "1228 NW Canal Blvd",
"address_purpose": "LOCATION",
"city": "Redmond",
"state": "OR",
"postal_code": "977561335",
"country_code": "US",
"telephone_number": "541-923-3970",
"fax_number": "541-699-4336",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAYNOR",
"first_name": "YVETTE",
"middle_name": "M",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2021-01-29",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "200550094 FNP PP",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ygaynor17351@directmsg.bmctotalcare.com",
"affiliation": "N",
"address_1": "1501 NE Medical Center Dr",
"city": "Bend",
"state": "OR",
"country_code": "US",
"postal_code": "977016051",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.