Individual provider Active NPI

Tricia Lynne Couture, FNP

  • Family Nurse Practitioner
  • Bend, OR
National Provider Identifier
1962674887
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200050037NP Issued in OR
Practice address
19790 Dry Canyon Ave
Bend, OR 97702-3034
Phone
(541) 678-2091
NPI assigned
Apr 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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 200050037NP OR Primary

Addresses

Primary practice location

19790 Dry Canyon Ave
Bend, OR 97702-3034

Mailing address

19790 Dry Canyon Ave
Bend, OR 97702-3034
Phone (541) 678-2091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, AK, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20131125001102 OR Practitioner - Nurse Practitioner 5890921795 Reassigns benefits to 2 organizations
I20241108003659 AK Practitioner - Nurse Practitioner 5890921795 Reassigns benefits to 2 organizations
I20250606000753 TX Practitioner - Nurse Practitioner 5890921795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1270 Kot Num Rd
Warm Springs, OR 97761-1209
Phone (541) 553-1196

Hospital & facility affiliations

  • Norton Sound Regional Hospital Hospital, Nome, AK, CCN 021308

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200050037NPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Icco, LLC Current Accepting new patients
Warm Springs Health and Wellness DHHS IHS Warm Springs Service Unit CurrentSince Jun 3, 2025 Accepting new patients
Norton Sound Health Corporation Current Accepting new patients
Icco LLC CurrentSince Oct 15, 2023 Accepting new patients
Western Healthcare Services Texas CurrentSince Oct 29, 2022 Accepting new patients
Norton Sound Health Corporation CurrentSince Sep 30, 2024 Accepting new patients
Norton Sound Health Corporation CurrentSince Sep 30, 2024 Accepting new patients
Cascade Direct Care Inc PastSince Apr 9, 2022 Accepting new patients

Locations

600 Jefferson St
Ste 600
Lafayette, LA 70501
Phone (337) 202-0720

108 NW Sisemore St
Ste 120
Bend, OR 97703
Phone (541) 213-2133

1302 NE 3rd St
Bend, OR 97701
Phone (541) 385-6388

598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473

3675 Pacific Ave
#101
Forest Grove, OR 97116
Phone (971) 762-4611

94220 4th St
Gold Beach, OR 97444
Phone (541) 247-3000

1890 NW 6th St
Grants Pass, OR 97526
Phone (541) 507-0684

3737 Shasta Way
Ste A
Klamath Falls, OR 97603
Phone (541) 883-2337

3400 Cooperative Way
Lebanon, OR 97355
Phone (541) 333-6605

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364774400000",
    "number": "1962674887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19790 DRY CANYON AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023034",
            "telephone_number": "541-678-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19790 DRY CANYON AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023034",
            "telephone_number": "541-678-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUTURE",
        "first_name": "TRICIA",
        "middle_name": "LYNNE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2013-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200050037NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.