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Carli D. Corpus

Dietitian, Registered β€’ Bend, OR

Active NPI 1639880388 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

2036 Ne Williamson Ct
Bend, OR 977013771

Call 5417066348 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2036 Ne Williamson Ct

Bend, OR 977013771

Telephone 5417066348
Organization at the Same NPPES Address or Phone
Northland Hearing Centers, Inc. Facility NPI 1679608632

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Boise, ID. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: St Charles Health System Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2022

Years since graduation

4 years (graduated 2022)

CMS Doctors and Clinicians data list 2022 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Carli Corpus has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Bend and Oregon

53 active clinicians are listed under Dietitian, Registered with a practice address in Bend, OR (927 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bend

5.7% of these 53 clinicians have the CMS telehealth indicator.

30.2% of these 53 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-02-03
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL

Medicare Enrollment ID

I20241115001660

Enrollment State Jurisdiction

OR

PECOS Control ID

0648704403

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

St Charles Health System Inc

2036 Ne Williamson Ct, Bend, OR 977013771

Phone: 5417067721

Secondary Practice Locations

190 E Bannock St

Boise, ID 837126241

Phone: 2083812425

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Michelle Czopek , RDN

Dietitian, Registered

NPI 1548922164

Registered Dietitian Nutritionist

Lu Ann Lehnertz , RD, LD, CDE

Dietitian, Registered

NPI 1417160813

Registered Dietitian, Licensed Dietitian, Certified Diabetes Educator

Dr. Lynne Oldham , PhD, RD, CDE, CHES

Dietitian, Registered - Nutrition, Pediatric

NPI 1235161928

Doctor of Philosophy (Ph.D.), Registered Dietitian, Certified Diabetes Educator, CHES

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location February 03, 2025

Registered at 2036 NE WILLIAMSON CT, BEND, OR 977013771 (Tel: 5417066348)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2025

Dietitian, Registered

βœ…
NPI Profile Active January 04, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 04, 2023

Registered at 190 E BANNOCK ST, BOISE, ID 837126241 (Tel: 2083812425)

πŸ“
Business Mailing Address (Initial Record) January 04, 2023

Registered at 2245 W TRESTLE DR, MERIDIAN, ID 836461593 (Tel: 2089941549)

πŸ‘€
Provider Name / Credentials (Initial Record) January 04, 2023

Recorded as CARLI CORPUS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2023

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration December 13, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1639880388
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2022
Last Update: February 03, 2025
Sole Proprietor: No

Other Dietitian, Registereds in Bend

All Dietitian, Registereds in Bend

Mailing Address

2245 W Trestle Dr

Meridian, ID 836461593

Phone: 2089941549

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.