Individual provider Active NPI

Cameron R Metzler, FNP

  • Family Nurse Practitioner
  • Elmira, OR
National Provider Identifier
1962170159
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
202109083NP-PP Issued in OR
Practice address
24934 Fir Grove LN
Elmira, OR 97437-9751
Phone
(541) 508-4135
NPI assigned
Sep 1, 2021
Last updated
Jun 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 202109083NP-PP OR Primary

Addresses

Primary practice location

24934 Fir Grove LN
Elmira, OR 97437-9751

Mailing address

24934 Fir Grove LN
Elmira, OR 97437-9751
Phone (541) 508-4135

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211020002663 OR Practitioner - Nurse Practitioner 3173911393 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Oregon Health Sciences University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orchid Oakridge Clinic PCGroup PAC ID 3476786609, 28 clinicians

Practice addresses (Care Compare)

24934 Fir Grove LN
Elmira, OR 97437-9751
Phone (541) 234-3255

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orchid Oakridge Clinic, P.C. CurrentSince Aug 1, 2023 Accepting new patients
Oregon Healthcare Resources, LLC CurrentSince Dec 6, 2021 Accepting new patients

Locations

24934 Fir Grove Ln
Elmira, OR 97437
Phone (541) 234-3255

330 S Garden Way
Ste 350
Eugene, OR 97401
Phone (541) 746-6816

37400 Bell St
Sandy, OR 97055
Phone (503) 668-3483

2000 N 19th St
Springfield, OR 97477
Phone (541) 284-1694

Interoperability endpoints

  • Direct secure messaging: cameron.metzler.1@31614.direct.athenahealth.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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1962170159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24934 FIR GROVE LN",
            "city": "ELMIRA",
            "state": "OR",
            "postal_code": "974379751",
            "telephone_number": "541-508-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24934 FIR GROVE LN",
            "city": "ELMIRA",
            "state": "OR",
            "postal_code": "974379751",
            "telephone_number": "541-508-4135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZLER",
        "first_name": "CAMERON",
        "middle_name": "R",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-01",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202109083NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, OR

Sources for this page

Verify at the official NPI Registry.