Individual provider Active NPI

Camille E. Leider, NP

  • Family Nurse Practitioner
  • Springfield, OR
National Provider Identifier
1972548766
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200450020NP Issued in OR
Practice address
Peacehealth Surgical Specialties
3355 Riverbend Dr Ste 300
Springfield, OR 97477
Phone
(541) 222-8333
Fax
(541) 222-8320
NPI assigned
Jun 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Nurse Practitioner 363LX0106X 200450020NP OR
Family Nurse Practitioner 363LF0000X 200450020NP OR Primary

Addresses

Primary practice location

Peacehealth Surgical Specialties
3355 Riverbend Dr Ste 300
Springfield, OR 97477

Mailing address

3355 Riverbend Dr Ste 300
Springfield, OR 97477-8800
Phone (541) 222-8333

Other practice location 1

2650 Suzanne Way Ste 200
Eugene, OR 97408-7619
Phone (541) 228-3050

Other identifiers 1

IdentifierTypeStateIssuer
275061MedicaidOR

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
I20040930000378 OR Practitioner - Nurse Practitioner 9739158346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.95 of 100Reported as group
Quality
92.04
Promoting interoperability
100
Improvement activities
40
Cost
85.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200450020NPORMDOccupational Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Medical Group CurrentSince Jul 31, 2023 Accepting new patients

Locations

4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300

3355 Riverbend Dr
Ste 400
Springfield, OR 97477
Phone (541) 222-2402

3311 Riverbend Dr
Springfield, OR 97477
Phone (541) 222-3531

3355 Riverbend Dr
Ste 300
Springfield, OR 97477
Phone (541) 222-8333

3355 Riverbend Dr
Ste 110
Springfield, OR 97477
Phone (541) 687-1336

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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1972548766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 RIVERBEND DR STE 300",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974778800",
            "telephone_number": "541-222-8333",
            "fax_number": "541-222-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PEACEHEALTH SURGICAL SPECIALTIES",
            "address_2": "3355 RIVERBEND DR STE 300",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "97477",
            "telephone_number": "541-222-8333",
            "fax_number": "541-222-8320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2650 Suzanne Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974087619",
            "country_code": "US",
            "telephone_number": "541-228-3050",
            "fax_number": "541-228-3050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEIDER",
        "first_name": "CAMILLE",
        "middle_name": "E.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "OR",
            "license": "200450020NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200450020NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275061",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

Verify at the official NPI Registry.