MARY NELL ANKER (NPI# 1568451383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568451383 |
| Entity Type | Individual |
| Full Name | MARY NELL ANKER |
| Credential | N.P. |
| Practice Address |
110 10th St Se Bandon OR 97411-9157 |
| Practice Telephone | 5413472313 |
| Practice Fax Number | 5413472015 |
| Mailing Telephone | 5413472313 |
| Mailing Fax Number | 5413472015 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2013-05-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 200950121NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
200950121NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | NBMC GROUP MEDICAID NUMBER | 161133 | 01 |
| NY | 01948232 | 05 | |
| OR | NBMC GROUP MEDICARE NUMBER | R0000WFBTV | 01 |
| OR | NBMC GROUP NPI NUMBER | 1407812365 | 01 |
| OR | NBMC GROUP TAX ID FOR BILLING | 930635514 | 01 |
| Street Address |
110 10TH ST SE |
| City | BANDON |
| State | OR |
| Zip Code | 97411-9157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205383890 | Heather Sullivan | Registered Nurse | 110 10th St Se, Bandon, OR 97411-9157 | 2016-09-01 |
| 1982667218 | Suzanne Yost | Nurse Practitioner | 110 10th St Se, Bandon, OR 97411-9157 | 2006-04-08 |
| 1588649289 | Jonathon Lex Park | Family Medicine | 110 10th St Se, Bandon, OR 97411-9157 | 2005-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851756340 | Carl John Moehring | Internal Medicine | 2840 Beach Loop Dr. Sw, Bandon, OR 97411 | 2015-12-28 |
| 1841692969 | Bandon Senior Living LLC | Assisted Living Facility | 1000 6th Ave West, Bandon, OR 97411 | 2014-09-19 |
| 1962824821 | Oregon Retina, LLP | Ophthalmology | 1095 Alabama Street, Bandon, OR 97411 | 2014-01-13 |
| 1063756401 | Bandon Coastal Dental, LLC | Clinic/Center | 1097 Baltimore Ave, Bandon, OR 97411 | 2012-11-26 |
| 1114205028 | James Ryan Surface | Dentist | 1275 Oregon Ave., Bandon, OR 97411 | 2011-07-26 |
| 1790083509 | William M. Soper, Dds | Preferred Provider Organization | 1275 Oregon Ave, Bandon, OR 97411 | 2011-03-02 |
| 1285860635 | Sharen C. Strong | Dentist | 155 Delaware Ave, Bandon, OR 97411 | 2009-05-29 |
| 1518158500 | Coos Eye Centers, Inc. | Optometrist | 1095 Alabama Avenue, Bandon, OR 97411 | 2007-08-06 |
| 1043432040 | Michael Brent Currie | Chiropractor | 55416 Melton Road, Bandon, OR 97411 | 2007-05-02 |
| 1619098167 | Susan Lynn Dimock | Social Worker | 1212 Alabama St, Suite 27, Bandon, OR 97411 | 2007-04-03 |
| Find all providers in zip 97411 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628417 | Biohax | Nurse Practitioner | 17933 Nw Evergreen Pkwy Ste 285, Beaverton, OR 97006-7661 | 2020-10-27 |
| 1932708526 | Rebecca Ann Mickel | Nurse Practitioner | 22244 Sw Nottingham Ct, Sherwood, OR 97140-9816 | 2020-10-23 |
| 1184221780 | Catherine Slade | Nurse Practitioner | 3640 Nw Samaritan Dr # 100, Corvallis, OR 97330-3784 | 2020-10-06 |
| 1689280620 | Danna Rae Morgan | Nurse Practitioner | 539 N Barneburg Rd, Medford, OR 97504-6678 | 2020-09-16 |
| 1740800283 | Digital Clinic LLC | Nurse Practitioner | 30 E 33rd Ave Unit 5822, Eugene, OR 97405-0819 | 2020-04-24 |
| 1356977144 | Maria Elena Rivera | Nurse Practitioner | 1801 Highway 99 N Ste B, Ashland, OR 97520-9152 | 2020-03-12 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1073097242 | Shirley Deveere Reynolds | Nurse Practitioner | 998 Inlet Loop, Coos Bay, OR 97420-4446 | 2018-09-24 |
| 1427537844 | Mardin Sabah Sabir | Nurse Practitioner | 5050 Ne Hoyt St Ste 259, Portland, OR 97213-2984 | 2018-08-07 |
| 1497249007 | Kansys Clouse | Nurse Practitioner | 1639 Se Ensign Ln # B103, Warrenton, OR 97146-7308 | 2018-06-18 |
| Find all providers with the same taxonomy | ||||
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| 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.