Individual provider Active NPI

Candie Marie Keller, MSN, APRN, NP-C

  • Family Nurse Practitioner
  • Coquille, OR
National Provider Identifier
1801636600
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10024862 Issued in OR
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

Updated by the provider on Jan 5, 2026

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 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 Former name

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
I20240612003618 OR Practitioner - Nurse Practitioner 0446792873 Reassigns benefits to 1 organization

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
North Bend Medical Center IncGroup PAC ID 5597677716, 92 clinicians

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 Home health agency, Coos Bay, OR, CCN 387039
  • Pacific Home Health and Hospice Home health agency, Coos Bay, OR, CCN 387135
  • South Coast Hospice Hospice, Coos Bay, OR, CCN 381530
  • Bay Area Hospital Hospital, Coos Bay, OR, CCN 380090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Bend Medical Center Inc CurrentSince Jul 1, 2024 Accepting new patients
North Bend Medical Center Inc CurrentSince Jul 1, 2024 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.

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": "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

Verify at the official NPI Registry.