NPIMap

Organization Active NPI

Praxis Health, PC

  • Multi-Specialty Clinic/Center
  • Bend, OR
National Provider Identifier
1821068164
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PRAXIS HEALTH, PC
Practice address
929 SW Simpson Ave
Suite 300
Bend, OR 97702-3599
Phone
(541) 389-7741
Fax
(541) 278-8376
NPI assigned
Jan 26, 2006
Last updated
Dec 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Authorized official

Name
Jessica M Reagan
Title
Revenue Cycle Director
Phone
(541) 966-6136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

929 SW Simpson Ave
Suite 300
Bend, OR 97702-3599

Mailing address

PO Box 1517
Pendleton, OR 97801-0410
Phone (877) 708-1119

Other identifiers 1

IdentifierTypeStateIssuer
130225MedicaidOR

Other names 1

  • Praxis Medical Group, INC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, ID, WA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20040128000241 OR Part B Supplier - Clinic/Group Practice 8325941446 Receives reassigned benefits from 177 practitioners
Practice locations: Eugene, OR; Hermiston, OR; La Grande, OR; McMinnville, OR; Oregon City, OR; Pendleton, OR; Portland, OR; Redmond, OR…
O20100614000879 ID Part B Supplier - Clinic/Group Practice 8325941446 Receives reassigned benefits from 6 practitioners
Practice locations: Coeur D Alene, ID
O20140305001172 OR DME Supplier - Multi-Specialty - Physician 8325941446 Practice locations: Bend, OR
O20220131001703 WA Part B Supplier - Clinic/Group Practice 8325941446 Receives reassigned benefits from 6 practitioners
Practice locations: Vancouver, WA

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2119 Pacific Blvd SW
Ste 102
Albany, OR 97321
Phone (541) 924-2873

4510 SW Hall Blvd
Beaverton, OR 97005
Phone (503) 644-1171

1342 Medical Center Dr
Ste 100
Bend, OR 97701
Phone (541) 388-2333

2088 NE Kim Ln
Bend, OR 97701
Phone (541) 309-0031

2175 NW Shevlin Park Rd
Bend, OR 97703
Phone (541) 706-3870

336 SW Cyber Dr
Ste 107
Bend, OR 97702
Phone (541) 382-5500

929 SW Simpson Ave
Bend, OR 97702
Phone (541) 848-6642

531 SE Clay St
Dallas, OR 97338
Phone (503) 623-5430

71 E 15th Ave
Eugene, OR 97401
Phone (541) 431-0000

2163 NW 2nd St
McMinnville, OR 97128
Phone (503) 472-4197

1001 NW Canal Blvd
Redmond, OR 97756
Phone (541) 504-7635

236 NW Kingwood Ave
Redmond, OR 97756
Phone (541) 504-4603

4999 Skyline Rd S
Ste 100
Salem, OR 97306
Phone (503) 364-4005

147 S 52nd Pl
Springfield, OR 97478
Phone (541) 746-1166

Practitioners & affiliated clinicians

Practitioners 229

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 229

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639526400000",
    "number": "1821068164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1517",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978010410",
            "telephone_number": "877-708-1119",
            "fax_number": "541-278-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 SW SIMPSON AVE",
            "address_2": "SUITE 300",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023599",
            "telephone_number": "541-389-7741",
            "fax_number": "541-278-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAXIS HEALTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "REAGAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "541-966-6136"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130225",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Praxis Medical Group, INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.