MARIE CASSELBERRY AGNEW


Address: 929 Sw Simpson Ave Ste 300, Bend, OR 97702-3599
Phone: 5413897741

MARIE CASSELBERRY AGNEW (NPI# 1013296490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013296490
Entity Type Individual
Full Name MARIE CASSELBERRY AGNEW
Other Name MARIE GAIL CASSELBERRY
Credential FNP, DNP.
Practice Address 929 Sw Simpson Ave Ste 300
Bend
OR 97702-3599
Mailing Address 19075 Nw Tanasbourne Dr.
Hillsboro
OR 97214
Practice Telephone 5413897741
Practice Fax Number 5412788376
Mailing Telephone 5039413753
Enumeration Date 2011-08-16
Last Update Date 2018-12-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 201250123NP OR Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
201250123NP OR Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2400 E Burnside St., Portland, OR 97214 5036083081

Office Location

Street Address 929 SW SIMPSON AVE STE 300
City BEND
State OR
Zip Code 97702-3599

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124092051 Michael C Widmer Internal Medicine 929 Sw Simpson Ave Ste 300, Bend, OR 97702 2006-02-15
1538666268 Eric Luther Sorenson Physician Assistant 929 Sw Simpson Ave Ste 300, Bend, OR 97702-3599 2018-04-10
1407296361 Ashley Mcclary Obstetrics & Gynecology 929 Sw Simpson Ave Ste 300, Bend, OR 97702-3599 2013-06-25
1740578194 Kelly Noelle Eilert Counselor 929 Sw Simpson Ave Ste 300, Bend, OR 97702 2011-07-19
1720251291 Monica Ellen Rau Ramsey Internal Medicine 929 Sw Simpson Ave Ste 300, Bend, OR 97702-3599 2008-04-07
1861673667 John Patrick Ramsey Internal Medicine 929 Sw Simpson Ave Ste 300, Bend, OR 97702 2007-11-20
1699827840 Jason Prinster Psychologist 929 Sw Simpson Ave Ste 300, Bend, OR 97702 2007-01-17
1841228228 Gary Allen Levinson Psychiatry & Neurology 929 Sw Simpson Ave Ste 300, Bend, OR 97702 2006-06-28
1568438836 Ann Bridget Bird Obstetrics & Gynecology 929 Sw Simpson Ave Ste 300, Bend, OR 97702-3599 2006-02-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629676259 Amy Michelle Anderson Counselor 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 2020-10-15
1386259463 Jacob Rehder Counselor 19717 Mt Batchelor Dr, #226, Bend, OR 97702 2020-09-15
1497385215 Capacity Performance Therapy Physical Medicine & Rehabilitation 61125 Lodgepole Dr., Bend, OR 97702 2020-01-21
1962041707 Shift Bend Functional Medicine Family Medicine 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 2019-12-26
1609435049 Praxis Medical Group Inc Orthopaedic Surgery 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 2019-06-10
1013485754 Elana Leah Pesah Social Worker 138 Maaglei Harim Levin, Jerusalem, ISRAEL 97702 2018-11-12
1104303239 Kyleigh Mcvey Massage Therapist 999 Sw Disk Dr, Bend, OR 97702 2018-07-21
1477042869 Siloe Castaneda Huerta Counselor 1340 Nw Wall, Bend, Or, Bend, OR 97702 2018-05-02
1164910808 Rebecca M Joyce Social Worker 1011 Sw Emkay Dr. Suite 101, Bend, OR 97702 2018-04-27
1093217978 Jennifer Bury Acupuncturist 296 Sw Columbia St Ste D1, Bend, OR 97702 2018-03-06
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679905020 Kendra L Owens Nurse Practitioner 2564 Ne Courtney Dr., Bend, OR 97701 2013-08-07
1174840391 Deborah Lenore Rief-adams Nurse Practitioner 2042 Ne Williamson Court, Bend, OR 97701 2010-04-28
1720165541 Erin Arnold Bishop Nurse Practitioner 155 Sw Century Dr Ste 111, Bend, OR 97702-1657 2006-11-01
1497830574 Bette T. Johnson Nurse Practitioner 2500 Neff Rd., St Charles Medical Center, Bend, OR 92201-0001 2006-10-26
1144847153 Jessica Ann Spanbauer-bales Nurse Practitioner 900 Ne 27th St, Bend, OR 97701-9548 2020-06-25
1316509474 Hannah Webster Ferrie Nurse Practitioner 2275 Ne Doctors Dr Ste 3, Bend, OR 97701-6324 2019-06-28
1508358201 Adam J Pike Nurse Practitioner 2075 Ne Wyatt Ct, Bend, OR 97701-7686 2018-05-30
1013419530 Jaclyn Smith Nurse Practitioner 2500 Ne Neff Rd, Bend, OR 97701-6015 2018-02-28
1447702428 Andrea Purtzer Nurse Practitioner 2500 Ne Neff Rd, Bend, OR 97701-6015 2016-10-26
1003291584 Molly K Torvik Nurse Practitioner 2195 Ne Professional Ct Ste 1, Bend, OR 97701-6028 2015-07-24
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Competitor

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City BEND
Zip Code 97702

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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