Individual provider Active NPI

Angelina Maria Zamboni, NP

  • Nurse Practitioner
  • Bend, OR
National Provider Identifier
1669628822
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
201150051NP Issued in OR
Practice address
2275 NE Doctors Dr Ste 6
Bend, OR 97701-6092
Phone
(541) 706-2780
Fax
(541) 706-4806
NPI assigned
Aug 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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 814786 CA
Nurse Practitioner 363L00000X 201150051NP OR Primary

Addresses

Primary practice location

2275 NE Doctors Dr Ste 6
Bend, OR 97701-6092

Mailing address

PO Box 5579
Bend, OR 97708-5579
Phone (541) 706-6623

Other practice location 1

1680 W McKinney Butte Rd
Sisters, OR 97759-3129
Phone (541) 526-6623

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
I20130205000007 OR Practitioner - Nurse Practitioner 7911151675 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of California, Davis School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Charles Health System IncGroup PAC ID 8729111513, 379 clinicians

Practice addresses (Care Compare)

211 NW Larch Ave
Family Care
Redmond, OR 97756-1357
Phone (541) 548-2164

61250 SE Coombs PL
Family Care Clin
Bend, OR 97702-3704
Phone (541) 706-5935

Hospital & facility affiliations

  • St Charles Medical Center - Bend Hospital, Bend, OR, CCN 380047

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
814786CAMDRegistered Nurse
201150051NPORMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Charles Health System, Inc. CurrentSince Dec 6, 2014 Accepting new patients
St. Charles Health System, Inc. CurrentSince Dec 6, 2014 Accepting new patients

Locations

29358 Network Pl
Chicago, IL 60673

2275 NE Doctors Dr
Ste 6
Bend, OR 97701
Phone (541) 389-3166

2500 NE Neff Rd
Bend, OR 97701
Phone (541) 388-4333

51781 Huntington Rd
La Pine, OR 97739
Phone (541) 666-7920

375 NW Beaver St
Ste 101
Prineville, OR 97754
Phone (541) 316-6026

211 NW Larch Ave
Redmond, OR 97756
Phone (541) 548-2164

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.

Hospital & facility affiliations 2

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": "1218067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1669628822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5579",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977085579",
            "telephone_number": "541-706-6623",
            "fax_number": "541-526-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 NE DOCTORS DR STE 6",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016092",
            "telephone_number": "541-706-2780",
            "fax_number": "541-706-4806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1680 W McKinney Butte Rd",
            "address_purpose": "LOCATION",
            "city": "Sisters",
            "state": "OR",
            "postal_code": "977593129",
            "country_code": "US",
            "telephone_number": "541-526-6623",
            "fax_number": "541-516-3853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAMBONI",
        "first_name": "ANGELINA",
        "middle_name": "MARIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-07",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "814786",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "201150051NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.