KERRY ANN MAWDSLEY FNP NPI 1891775094

NPI Information

NPI: 1891775094
Provider Name: KERRY ANN MAWDSLEY, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1501 NE MEDICAL CENTER DR
BEND, OR
ZIP 97701
Phone: (541) 382-2811
Get Directions

Kerry Ann Mawdsley, FNP is a family nurse practitioner in Bend, OR. Kerry Ann Mawdsley, FNP NPI is 1891775094. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1501 NE MEDICAL CENTER DR
BEND, OR
ZIP 97701-051
Phone: (541) 382-2811

The NPI 1891775094 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/23/2006 and was last updated on 5/12/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	200550069NP	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	005881	MEDICAID	OREGON
2	P01285411	OTHER	OREGON	MEDICARE RAILROAD
3	R170949	MEDICARE PIN	OREGON
4	Q72838	MEDICARE UPIN	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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