Individual provider Active NPI

Christina Marie Brakebill, RN, FNP-BC

  • Family Nurse Practitioner
  • Bandon, OR
National Provider Identifier
1992133607
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
314495 Issued in 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
Last updated
Aug 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 314495 GA Primary
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 2

IdentifierTypeStateIssuer
209.010748MedicaidIL
500820285MedicaidOR

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
I20230601000735 OR Practitioner - Nurse Practitioner 7416184536 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bandon Community Health CenterGroup PAC ID 1557416757, 5 clinicians
AdaptGroup PAC ID 4587662887, 43 clinicians

Practice addresses (Care Compare)

1010 1St St SE
Bandon, OR 97411-9301
Phone (541) 347-2529

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
314495GAMDFamily Nurse Practitioner
10006133ORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bandon Community Health Ctr CurrentSince Apr 25, 2024 Accepting new patients
Bandon Community Health Center Current Accepting new patients
Adapt CurrentSince Oct 1, 2025 Accepting new patients
Waterfall Clinic, Incorporated CurrentSince Jun 6, 2023 Accepting new patients
Waterfall Clinic Incorporated Current Accepting new patients
Adapt CurrentSince Oct 1, 2025 Accepting new patients
Adapt Current Accepting new patients
Howard Brown Health Center Past Accepting new patients
Howard Brown Health Center Past Accepting new patients
Adapt 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

548 SE Jackson St
Roseburg, OR 97470
Phone (541) 492-0241

621 W Madrone St
Roseburg, OR 97470
Phone (541) 440-3571

Organizations & group practices 10

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 5

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": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1992133607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1121",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974700254",
            "telephone_number": "541-347-2529",
            "fax_number": "541-347-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 1ST ST SE STE 110",
            "city": "BANDON",
            "state": "OR",
            "postal_code": "974119301",
            "telephone_number": "541-347-2539",
            "fax_number": "541-347-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAKEBILL",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "RN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-16",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "314495",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.010748",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10006133",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209.010748",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500820285",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bandon, OR

Sources for this page

Verify at the official NPI Registry.