Jade Carboy, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

104418853 Issued in OR

Practice address

39 NW Louisiana Ave
Bend, OR 97703-3310

Phone

(541) 330-0334

NPI assigned

May 24, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Vanderbilt University School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Charles Medical Center - Bend Hospital, Bend, OR, CCN 380047

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Alpenaura Holistic Health LLC

  • Adult Health Nurse Practitioner
  • Bend, OR
  • NPI 1972329019

  Multi-Specialty

  Medicare reassignment NPD Authorized official
• Bend Memorial Clinic PC

  • Family Medicine Physician
  • Bend, OR
  • NPI 1699827477

  Multi-Specialty

  Medicare reassignment NPD
• Hawthorn Healing Arts Center

  • Acupuncturist
  • Bend, OR
  • NPI 1538912308

  Multi-Specialty

  Medicare reassignment NPD
• Richard B. Rosenfield MD PC

  • Medical Specialty Clinic/Center
  • Portland, OR
  • NPI 1639360902

  Multi-Specialty

  Medicare reassignment NPD
• Bend Memorial Clinic PC

  • Clinical Medical Laboratory
  • Bend, OR
  • NPI 1972144913
  NPD
• Pearl Surgicenter, LLC

  • Ambulatory Surgical Clinic/Center
  • Portland, OR
  • NPI 1407997125
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cascade Healthcare Community Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Bend, OR
  • NPI 1164675963

  Hospital

  Care Compare affiliation
• St. Charles Health System, Inc.

  • General Acute Care Hospital
  • Bend, OR
  • NPI 1982621447
  Care Compare affiliation

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712448000000",
    "number": "1891286944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 NW LOUISIANA AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977033310",
            "telephone_number": "541-330-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 NW LOUISIANA AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977033310",
            "telephone_number": "541-330-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBOY",
        "first_name": "JADE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2024-04-07",
        "certification_date": "2024-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "AG05180071",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OR",
            "license": "104418853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500761101",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phuong Cao, D.O.
• Capacity Performance Therapy
• Bradley Howard Capp, MS, DC
• Sandra Lee Capp, D.C.
• Hayley Nichole Caputo
• Jourdan Ariss Carboy, MD
• Kenna Nicole Cardin, PA-C
• Cardiothoracic Surgeon, PC
• Cardiothoracic Surgeons, PC
• Cardiovascular Consultants of the Cascades LLP

• Women's Health Nurse Practitioner in Bend, OR
• Providers in Bend, OR by specialty
• Women's Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2024; 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.

Verify at the official NPI Registry.