Kelly Ann Van Denend, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

201907199NP-PP Issued in OR

Practice address

3 River Ave
Eugene, OR 97404-2506

Phone

(503) 972-0235

NPI assigned

Aug 22, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

White Bird ClinicGroup PAC ID 3678554060, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelly.vandenend.p1@direct.whitebirdclinic.nextgenshare.com
• FHIR API: https://api.qualifacts.org/api/fhir/whitebirdclinic/r4/

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.

• White Bird Clinic

  • Federally Qualified Health Center (FQHC)
  • Eugene, OR
  • NPI 1598000960
  Medicare reassignment Care Compare group NPD
• Clinicops, LLC

  • Family Medicine Physician
  • Portland, OR
  • NPI 1275821266
  Medicare reassignment NPD
• Multnomah County

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
  • NPI 1609914787
  Medicare reassignment NPD
• Clinicops LLC

  • Family Medicine Physician
  • Eugene, OR
  • NPI 1912431594
  NPD
• Multnomah County

  • Federally Qualified Health Center (FQHC)
  • Gresham, OR
  • NPI 1912322074
  NPD
• Multnomah County

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
  • NPI 1982992954
  NPD
• Clinicops LLC

  • Internal Medicine Physician
  • Florence, OR
  • NPI 1497251268
  NPD (past)
• Multnomah County

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
  • NPI 1346480662
  NPD (past)

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1740837863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 RIVER AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974042506",
            "telephone_number": "503-972-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 RIVER AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974042506",
            "telephone_number": "503-972-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DENEND",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201907199NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley River Family Dental PC
• Valley West Operations, LLC
• Darby Valley, L.AC., DAOM
• Stephanie Van de Hey
• Kenria Yvonne Ann Van de Water
• Anna S Van Der Horst, M.D.
• Jacqueline Van Der Zwan
• Christi A Van Deusen, PT
• Andrea Van Duren
• Terah Van Dusen

• Family Nurse Practitioner in Eugene, OR
• Providers in Eugene, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.