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Marcella R Canelo , REGISTERED DIETITIAN

Dietitian, Registered β€’ Bend, OR

Active NPI 1568019644 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

2065 Ne Tucson Way Apt 110
Bend, OR 977015182

Call 5413833005 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

2065 Ne Tucson Way Apt 110

Bend, OR 977015182

Telephone 5413833005
Fax 5413831883
Organization at the Same NPPES Address or Phone
Mosaic Medical Facility NPI 1710328992

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

CMS Doctors and Clinicians lists 1 group name: Mosaic Community Health. 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

2018

Years since graduation

8 years (graduated 2018)

CMS Doctors and Clinicians data list 2018 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

2019

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)

Marcella Canelo 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: 2024-10-24
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES OR LD-D-10200369

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.

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

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
500768695 (OR)

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

I20220310001521

Enrollment State Jurisdiction

OR

PECOS Control ID

0547655524

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

Mosaic Community Health

375 Nw Beaver St, Prineville, OR 977541802

Phone: 5413166026

Clinicians Sharing This Practice Address or Phone

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

40 listed
Dr. Steven Alexander , DDS

Dentist - General Practice

NPI 1497897979

Doctor of Dental Surgery

Colleen Baird , APN

Nurse Practitioner - Family

NPI 1659062214

Advanced Practice Nurse

Keith Bell , PA

Physician Assistant

NPI 1104139369

Physician Assistant

NPI 1679874721

Doctor of Pharmacy (Pharm.D.)

NPI 1063023539

Doctor of Pharmacy (Pharm.D.)

Claire Biolatto , NP

Nurse Practitioner - Family

NPI 1386129294

Nurse Practitioner

Career & Practice History Timeline

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

10 Historical Events
πŸ“
Updated Business Mailing Address October 24, 2024

Registered at PO BOX 4228, PORTLAND, OR 972084228 (Tel: 5413833005)

πŸ“
Updated Practice Location February 07, 2023

Registered at 2065 NE TUCSON WAY APT 110, BEND, OR 977015182 (Tel: 5413833005)

πŸ“
Updated Business Mailing Address February 07, 2023

Registered at 600 SW COLUMBIA ST STE 6250, BEND, OR 977021099 (Tel: 5413833005)

πŸ“
Updated Practice Location June 03, 2020

Registered at 1010 SW COAST HWY, NEWPORT, OR 973655288 (Tel: 5412650445)

βœ…
NPI Profile Active August 26, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 26, 2019

Registered at 36 SW NYE ST, NEWPORT, OR 973653821 (Tel: 5412654179)

πŸ“
Business Mailing Address (Initial Record) August 26, 2019

Registered at 36 SW NYE ST, NEWPORT, OR 973653821 (Tel: 5412654179)

πŸ‘€
Provider Name / Credentials (Initial Record) August 26, 2019

Recorded as MARCELLA CANELO, REGISTERED DIETITIAN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2019

Dietitian, Registered (license number reported to NPPES: OR LD-D-10200369)

🟒
Initial NPI Registration & Enumeration August 22, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1568019644
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2019
Last Update: October 24, 2024
Sole Proprietor: No

Other Dietitian, Registereds in Bend

All Dietitian, Registereds in Bend

Mailing Address

Po Box 4228

Portland, OR 972084228

Phone: 5413833005

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.