Individual provider Active NPI

Loni Verzuh, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bend, OR
National Provider Identifier
1871254946
Registry record updated Dec 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
202114817 Issued in OR
Practice address
151 SW Shevlin Hixon Dr Ste 102
Bend, OR 97702-3232
Phone
(541) 717-3033
NPI assigned
Dec 31, 2021
Last updated
Dec 31, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 202114817 OR Primary

Addresses

Primary practice location

151 SW Shevlin Hixon Dr Ste 102
Bend, OR 97702-3232

Mailing address

PO Box 1541
Bend, OR 97709-1541
Phone (970) 250-1721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 13, 2024 through Jun 13, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
202114817ORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center & Flow Psychiatric/Mental Health CurrentSince Jul 9, 2023 Accepting new patients
Bright Sky Integrative Recovery CurrentSince Jan 5, 2025 Accepting new patients

Locations

151 SW Shevlin Hixon Dr
Ste 102
Bend, OR 97702
Phone (541) 717-3033

185 SW Shevlin Hixon Dr
Ste 101
Bend, OR 97702
Phone (541) 236-2282

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

NPI Registry JSON

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

{
    "created_epoch": "1640908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640908800000",
    "number": "1871254946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1541",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977091541",
            "telephone_number": "970-250-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 SW SHEVLIN HIXON DR STE 102",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023232",
            "telephone_number": "541-717-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERZUH",
        "first_name": "LONI",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-31",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202114817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.