Active NPI
Roberta Marie Bell, NP
- Family Nurse Practitioner
- Grants Pass, OR
National Provider Identifier
1891928495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201050122NP
- Practice address
- 537 Union Ave
Grants Pass, OR 97527-5543 - Phone
- (541) 507-2170
- Fax
- (541) 507-2171
- NPI assigned
- Aug 29, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 201050122NP | OR | |
| Family Nurse Practitioner | 363LF0000X | 201050122NP | OR | Primary |
Addresses
Primary practice location
537 Union Ave
Grants Pass, OR 97527-5543
Mailing address
785 E Washington Blvd
Crescent City, CA 95531-8343
Phone (707) 464-8818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127725 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R & R Primary Care Associates, LLC | Family | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637193600000",
"number": "1891928495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "785 E WASHINGTON BLVD",
"city": "CRESCENT CITY",
"state": "CA",
"postal_code": "955318343",
"telephone_number": "707-464-8818",
"fax_number": "707-464-8848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "537 UNION AVE",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975275543",
"telephone_number": "541-507-2170",
"fax_number": "541-507-2171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELL",
"first_name": "ROBERTA",
"middle_name": "MARIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-29",
"last_updated": "2021-11-18",
"certification_date": "2021-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OR",
"license": "201050122NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201050122NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127725",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.