Individual provider Active NPI

Yvette M Gaynor, NP

  • Family Nurse Practitioner
  • Bend, OR
National Provider Identifier
1588721237
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200550094 FNP PP Issued in OR
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

Updated by the provider on Jan 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address ygaynor17351@directmsg.bmctotalcare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, TX2 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
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

LicenseStateTypeSpecialty
200550094 FNP PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DCS Medical PA CurrentSince Apr 1, 2024 Accepting new patients
Bend Memorial Clinic PC CurrentSince Feb 1, 2020 Accepting new patients
McMinnville Immediate Health Care LLC CurrentSince Sep 1, 2017 Accepting new patients
DCS Medical PA CurrentSince Apr 1, 2024 Accepting new patients
Bend Memorial Clinic PC Family CurrentSince Feb 1, 2020 Accepting new patients
C,L and W PLLC CurrentSince Dec 17, 2023 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.

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

Verify at the official NPI Registry.