Active NPI
Candie Marie Keller, MSN, APRN, NP-C
- Family Nurse Practitioner
- Coquille, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 10024862
- Practice address
- 209 N Central Blvd
Coquille, OR 97423-1274 - Phone
- (541) 396-7295
- Fax
- (541) 266-4565
- NPI assigned
- May 29, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 10024862 | OR | Primary |
Addresses
Primary practice location
209 N Central Blvd
Coquille, OR 97423-1274
Mailing address
209 N Central Blvd
Coquille, OR 97423-1274
Phone (541) 396-7295
Other names 1
- Candie Marie Richardson
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1900 Woodland Dr
Coos Bay, OR 97420-2045
Phone (541) 267-5151
209 N Central Blvd
Coquille, OR 97423-1274
Phone (541) 396-7295
790 E 5TH St
Coquille, OR 97423-1755
Phone (541) 396-3111
Hospital & facility affiliations
- Oregon Coast Home Health
- Pacific Home Health and Hospice
- South Coast Hospice
- Bay Area Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Bend Medical Center Inc | Current | Accepting new patients | |
| North Bend Medical Center Inc | Current | Accepting new patients |
Locations
1900 Woodland Dr
Coos Bay, OR 97420
Phone (541) 267-5151
209 N Central Blvd
Coquille, OR 97423
Phone (541) 329-0144
790 E 5th St
Coquille, OR 97423
Phone (541) 396-3101
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Coos Bay, OR
- NPI 1407812365
-
- Diagnostic Radiology Physician
- Coos Bay, OR
- NPI 1063428308
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Coos Bay, OR
- NPI 1134801806
-
- General Acute Care Hospital
- Coos Bay, OR
- NPI 1225016561
-
- Home Health Agency
- Coos Bay, OR
- NPI 1851350086
-
- Community Based Hospice Care Agency
- Coos Bay, OR
- NPI 1417956558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767571200000",
"number": "1801636600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 N CENTRAL BLVD",
"city": "COQUILLE",
"state": "OR",
"postal_code": "974231274",
"telephone_number": "541-396-7295",
"fax_number": "541-266-4565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 N CENTRAL BLVD",
"city": "COQUILLE",
"state": "OR",
"postal_code": "974231274",
"telephone_number": "541-396-7295",
"fax_number": "541-266-4565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "CANDIE",
"middle_name": "MARIE",
"credential": "MSN, APRN, NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-29",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "10024862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CANDIE",
"last_name": "RICHARDSON",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Coquille, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.