Individual provider Active NPI

Renee Carolyn Prins, M.D.

  • Hematology & Oncology Physician
  • Salem, OR
National Provider Identifier
1639381346
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD29075 Issued in OR
Practice address
875 Oak St SE Ste 4030
Salem, OR 97301-3984
Phone
(503) 561-6444
NPI assigned
May 4, 2007
Last updated
Jun 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD29075 OR
Hematology & Oncology Physician 207RH0003X MD29075 OR Primary

Addresses

Primary practice location

875 Oak St SE Ste 4030
Salem, OR 97301-3984

Mailing address

875 Oak St SE Ste 4030
Salem, OR 97301-3984
Phone (503) 561-6444

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091210000382 OR Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - HematologyPractitioner - Medical Oncology 3577603281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Hematology, Medical Oncology
Education
Loma Linda University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oregon Oncology Specialists LLPGroup PAC ID 3971576240, 41 clinicians

Practice addresses (Care Compare)

875 Oak St SE
Suite 4030
Salem, OR 97301-3984
Phone (503) 561-6444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD29075ORMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Oncology Specialists, LLP Hematology & Oncology CurrentSince Aug 26, 2013 Accepting new patients
Oregon Oncology Specialists, LLP Hematology & Oncology CurrentSince Aug 26, 2013 Accepting new patients

Locations

2700 SE Stratus Ave
Ste A
McMinnville, OR 97128
Phone (503) 435-6590

875 Oak St SE
Ste 4030
Salem, OR 97301
Phone (503) 561-6492

1475 Mount Hood Ave
Woodburn, OR 97071
Phone (503) 982-2174

Interoperability endpoints

  • Direct secure messaging: renee.prins@hoos.ikm.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1639381346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 OAK ST SE STE 4030",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013984",
            "telephone_number": "503-561-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 OAK ST SE STE 4030",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013984",
            "telephone_number": "503-561-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINS",
        "first_name": "RENEE",
        "middle_name": "CAROLYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD29075",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OR",
            "license": "MD29075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.