Christina Marie Brakebill, RN, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Bandon, OR
NPI 1992133607 · NPPES record last updated Aug 25, 2026
Key facts
- NPI
- 1992133607
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 314495 (GA)
- Practice address
- 1010 1St St SE Ste 110
Bandon, OR 97411-9301 - Phone
- (541) 347-2539
- Fax
- (541) 347-9196
- NPI assigned
- Oct 16, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bandon Community Health Center
Adapt
Practice addresses (Care Compare)
1010 1St St SE
Bandon, OR 97411-9301
Phone (541) 347-2529
Hospital & facility affiliations
- Pacific Home Health and Hospice
- Southern Coos Hospital & Health Center
- Bay Area Hospital
- Curry General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230601000735 | OR | Practitioner - Nurse Practitioner | 7416184536 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 314495 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bandon Community Health Ctr | Current |
Accepting new patients | |
| Waterfall Clinic, Incorporated | Current |
Accepting new patients | |
| Adapt | Current | Accepting new patients | |
| Bandon Community Health Center | Current | Accepting new patients | |
| Adapt | Current |
Accepting new patients | |
| Waterfall Clinic Incorporated | Current | Accepting new patients | |
| Adapt | Current |
Accepting new patients | |
| Adapt | Past | Accepting new patients | |
| Howard Brown Health Center | Past | Accepting new patients | |
| Howard Brown Health Center | Past | Accepting new patients |
Locations
1010 1st St SE
Ste 110
Bandon, OR 97411
Phone 5413472529119
1890 Waite St
Ste 1
North Bend, OR 97459
Phone (541) 435-7033
621 W Madrone St
Roseburg, OR 97470
Phone (541) 440-3571
548 SE Jackson St
Roseburg, OR 97470
Phone (541) 492-0241
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 314495 | GA | Yes |
| Family Nurse Practitioner | 363LF0000X | 209.010748 | IL | |
| Family Nurse Practitioner | 363LF0000X | 10006133 | OR |
Addresses
Primary practice location
1010 1St St SE Ste 110
Bandon, OR 97411-9301
Mailing address
PO Box 1121
Roseburg, OR 97470-0254
Phone (541) 347-2529
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500820285 | Medicaid | OR | |
| 209.010748 | Medicaid | IL |
Other providers in Bandon, OR
- Janet M Bates
- Kenneth Robert Bates
- Rosemary Winifred Bean
- Blue Diamond Estates
- Linda M Bono
- Stephen Hutchins Brown
- Alexandra J Campbell
- Muthalib M Cassim
- Edmund Chaney
- Canada Converse
All providers in Bandon, OR · Family Nurse Practitioner in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.