Individual provider Active NPI

Megan Kelsi-Maher Brassine, FNP

  • Family Nurse Practitioner
  • La Grande, OR
National Provider Identifier
1780046995
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201601836NP-PP Issued in OR
Practice address
1 University Blvd
La Grande, OR 97850-2807
Phone
(541) 962-3524
NPI assigned
Mar 26, 2016
Last updated
Nov 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201601836NP-PP OR Primary

Addresses

Primary practice location

1 University Blvd
La Grande, OR 97850-2807

Mailing address

PO Box 3290
La Grande, OR 97850-7290
Phone (541) 962-3524

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
I20160812000901 OR Practitioner - Nurse Practitioner 3072807171 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Praxis Health PCGroup PAC ID 8325941446, 174 clinicians

Practice addresses (Care Compare)

2011 4TH St
La Grande, OR 97850-2511
Phone (541) 963-4139

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Health & Science University CurrentSince Jan 1, 2021 Accepting new patients
Oregon Health & Science University CurrentSince Jan 1, 2021 Accepting new patients
Oregon Health & Science University Current Accepting new patients
Praxis Health, PC Family CurrentSince Jan 15, 2021 Accepting new patients
Praxis Health, PC CurrentSince Jan 15, 2021 Accepting new patients

Locations

1 University Blvd
La Grande, OR 97850
Phone (541) 962-3524

2011 4th St
La Grande, OR 97850
Phone (541) 963-4139

Organizations & group practices 6

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 4

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": "1458950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1780046995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3290",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978507290",
            "telephone_number": "541-962-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY BLVD",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978502807",
            "telephone_number": "541-962-3524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASSINE",
        "first_name": "MEGAN",
        "middle_name": "KELSI-MAHER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-26",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201601836NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grande, OR

Sources for this page

Verify at the official NPI Registry.