Individual provider Active NPI

Marilyn Parker-Cullen, FNP

  • Family Nurse Practitioner
  • Bend, OR
National Provider Identifier
1629009659
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
088000529N1 Issued in OR
Practice address
1303 NE Cushing Dr Ste 100
Bend, OR 97701-3887
Phone
(541) 388-2333
Fax
(541) 388-0930
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 088000529RN OR
Family Nurse Practitioner 363LF0000X 088000529N1 OR Primary

Addresses

Primary practice location

1303 NE Cushing Dr Ste 100
Bend, OR 97701-3887

Mailing address

1303 NE Cushing Dr
Bend, OR 97701-3887
Phone (541) 388-2333

Other practice location 1

1315 NW 4th St
Redmond, OR 97756-1328
Phone (541) 388-2333

Other practice location 2

1140 SW Simpson Ave.
Suite 100
Bend, OR 97702
Phone (541) 388-2333

Other identifiers 2

IdentifierTypeStateIssuer
150855MedicaidOR
R100919OtherORMEDICARE PTAN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240530004108 OR Practitioner - Nurse Practitioner 6204855679 Practice locations: Bend, OR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
088000529RNORMDRegistered Nurse
088000529N1ORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marilyn Parker-Cullen CurrentSince Feb 4, 2024 Accepting new patients
Physicians of Central Oregon, LLC Past Accepting new patients
Hand and Arm Therapy of Central Oregon Inc PastSince Aug 20, 2026 Accepting new patients

Locations

2546 NE Conners Ave
Ste 200
Bend, OR 97701
Phone (541) 322-1794

Organizations & group practices 3

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1629009659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 NE CUSHING DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013887",
            "telephone_number": "541-388-2333",
            "fax_number": "541-388-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 NE CUSHING DR STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013887",
            "telephone_number": "541-388-2333",
            "fax_number": "541-388-0930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1315 NW 4th St",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "OR",
            "postal_code": "977561328",
            "country_code": "US",
            "telephone_number": "541-388-2333",
            "fax_number": "541-388-0930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1140 SW Simpson Ave.",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "97702",
            "country_code": "US",
            "telephone_number": "541-388-2333",
            "fax_number": "541-388-0930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER-CULLEN",
        "first_name": "MARILYN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "088000529RN",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "088000529N1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150855",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "R100919",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.