Individual provider Active NPI

Denise Lee Griffiths, FNP

  • Family Nurse Practitioner
  • Christmas Valley, OR
National Provider Identifier
1639450471
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201150108NP Issued in OR
Practice address
87520 Bay Rd
Christmas Valley, OR 97641-2233
Phone
(541) 536-3435
Fax
(541) 536-1040
NPI assigned
Sep 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201150108NP OR Primary
Primary Care Nurse Practitioner 363LP2300X 201150108NP OR

Addresses

Primary practice location

87520 Bay Rd
Christmas Valley, OR 97641-2233

Mailing address

PO Box 765
Christmas Valley, OR 97641-0765
Phone (541) 219-2623

Other identifiers 1

IdentifierTypeStateIssuer
500656255MedicaidOR

Other names 1

  • Denise Lee Mensch Former name

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
I20140917001650 OR Practitioner - Nurse Practitioner 0648499046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Asher Community Health CenterGroup PAC ID 2163460726, 5 clinicians

Practice addresses (Care Compare)

712 Jay St
Fossil, OR 97830-8371
Phone (541) 763-2725

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201150108NPORMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Lake Clinic LLC Family CurrentSince Jul 9, 2023 Accepting new patients
Asher Community Health Center CurrentSince Dec 20, 2023 Accepting new patients
Asher Community Health Center Current Accepting new patients
Asher Community Health Center CurrentSince Dec 20, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dgriffiths680681@direct.ochin.org

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1639450471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 765",
            "city": "CHRISTMAS VALLEY",
            "state": "OR",
            "postal_code": "976410765",
            "telephone_number": "541-219-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87520 BAY RD",
            "city": "CHRISTMAS VALLEY",
            "state": "OR",
            "postal_code": "976412233",
            "telephone_number": "541-536-3435",
            "fax_number": "541-536-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITHS",
        "first_name": "DENISE",
        "middle_name": "LEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-07",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201150108NP",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OR",
            "license": "201150108NP",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500656255",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "MENSCH",
            "middle_name": "LEE",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Christmas Valley, OR

Sources for this page

Verify at the official NPI Registry.