Active NPI
Peri Rose Vernon, CNM
- Advanced Practice Midwife
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 202213045NP-PP
- Practice address
- 2400 NE Neff Rd Ste a
Bend, OR 97701-6752 - Phone
- (541) 389-3300
- Fax
- (541) 389-8115
- NPI assigned
- Aug 25, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 202213045NP-PP | OR | Primary |
Addresses
Primary practice location
2400 NE Neff Rd Ste a
Bend, OR 97701-6752
Mailing address
2124 SW 28TH St
Redmond, OR 97756-8078
Phone (541) 647-7377
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CNM07819 | Other | AMCB | |
| 500820093 | Medicaid | OR | |
| 202213045NP-PP | Other | OR | OREGON STATE BOARD OF NURSING |
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Georgetown University School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 NE Neff Rd
Suite a
Bend, OR 97701-6752
Phone (541) 389-3300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Cascade Womens Group, P C | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Past | Accepting new patients |
Locations
2400 NE Neff Rd
Ste A
Bend, OR 97701
Phone (541) 389-3300
Interoperability endpoints
- https://epicproxy.et4001.epichosted.com/APIProxyPRD/ECWG/api/FHIR/R4
- pvernon24441@coipa.gardenplot.direct-ci.com
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.
-
dba East Cascade Women's Group
- Obstetrics & Gynecology Physician
- Bend, OR
- NPI 1770541609
-
dba St. Charles Medical Center - Bend
- Rehabilitation Hospital Unit
- Bend, OR
- NPI 1154343150
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba NW High Desert Sleep Center Bend
- Sleep Disorder Diagnostic Clinic/Center
- Bend, OR
- NPI 1164675963
Hospital
-
dba St. Charles Bend
- General Acute Care Hospital
- Bend, OR
- NPI 1982621447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1962121665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2124 SW 28TH ST",
"city": "REDMOND",
"state": "OR",
"postal_code": "977568078",
"telephone_number": "541-647-7377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 NE NEFF RD STE A",
"city": "BEND",
"state": "OR",
"postal_code": "977016752",
"telephone_number": "541-389-3300",
"fax_number": "541-389-8115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERNON",
"first_name": "PERI",
"middle_name": "ROSE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-25",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "OR",
"license": "202213045NP-PP",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMCB",
"identifier": "CNM07819",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500820093",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON STATE BOARD OF NURSING",
"identifier": "202213045NP-PP",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
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 Nov 3, 2023; 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.