Individual provider Active NPI

Kellene A Fisler, AGNP

  • Nurse Practitioner
  • Bend, OR
National Provider Identifier
1760982474
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0993656 Issued in CO
Practice address
2275 NE Doctors Dr Ste 6
Bend, OR 97701-6092
Phone
(541) 706-3780
Fax
(541) 706-4581
NPI assigned
Feb 19, 2018
Last updated
May 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0993656 CO Primary

Addresses

Primary practice location

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

Mailing address

350 S Swadley St
Lakewood, CO 80228-2912
Phone (281) 413-5839

Other practice location 1

500 SW Ramsey Ave
Grants Pass, OR 97527-5554
Phone (541) 472-7000

Other practice location 2

2825 E Barnett Rd
Medford, OR 97504-8332
Phone (541) 789-7000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kfisler198962@secure.stcharleshealthcare.org

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
I20180402000739 OR Practitioner - Nurse Practitioner 2365704368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Colorado School of Medicine, Aurora, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Charles Health System IncGroup PAC ID 8729111513, 379 clinicians

Practice addresses (Care Compare)

2275 NE Doctors Dr
7 Anticoag Clinic
Bend, OR 97701-6092
Phone (541) 706-3780

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0993656COMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Charles Health System, Inc. CurrentSince Jun 24, 2024 Accepting new patients
St. Charles Health System, Inc. CurrentSince Jun 24, 2024 Accepting new patients
St. Charles Health System, Inc. Past Accepting new patients

Locations

29358 Network Pl
Chicago, IL 60673

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

2275 NE Doctors Dr
Ste 7
Bend, OR 97701
Phone (541) 389-0633

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1760982474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S SWADLEY ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282912",
            "telephone_number": "281-413-5839"
        },
        {
            "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": "541-706-3780",
            "fax_number": "541-706-4581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 SW Ramsey Ave",
            "address_purpose": "LOCATION",
            "city": "Grants Pass",
            "state": "OR",
            "postal_code": "975275554",
            "country_code": "US",
            "telephone_number": "541-472-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2825 E Barnett Rd",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975048332",
            "country_code": "US",
            "telephone_number": "541-789-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISLER",
        "first_name": "KELLENE",
        "middle_name": "A",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-19",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "0993656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kfisler198962@secure.stcharleshealthcare.org",
            "affiliation": "N",
            "address_1": "2275 NE Doctors Dr Ste 6",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977016092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.