Organization Active NPI

Firn Line Wellness LLC

Doing business as Firn Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Bend, OR
National Provider Identifier
1699561852
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
FIRN LINE WELLNESS LLC
Doing business as
Firn Wellness
Practice address
431 NW Franklin Ave Ste 200
Bend, OR 97703-2827
Phone
(541) 305-7645
Fax
(541) 229-1321
NPI assigned
Apr 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Authorized official

Name
Mary Farnsworth, PMHNP, CNMNPI 1154600724
Title
Owner
Phone
(541) 305-1321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

431 NW Franklin Ave Ste 200
Bend, OR 97703-2827

Mailing address

431 NW Franklin Ave Ste 200
Bend, OR 97703-2827
Phone (541) 305-7645

Other identifiers 1

IdentifierTypeStateIssuer
500638416MedicaidOR

Other names 1

  • Firn Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

431 NW Franklin Ave
Ste 200
Bend, OR 97703
Phone (541) 305-7645

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1699561852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 NW FRANKLIN AVE STE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032827",
            "telephone_number": "541-305-7645",
            "fax_number": "541-229-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 NW FRANKLIN AVE STE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032827",
            "telephone_number": "541-305-7645",
            "fax_number": "541-229-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRN LINE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "FARNSWORTH",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-305-1321",
        "authorized_official_credential": "PMHNP, CNM"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500638416",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Firn Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Firn Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.