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Melanie Anne Black , AGNP-C

Nurse Practitioner - Primary Care β€’ Bend, OR

Active NPI 1750999470 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

2165 Nw Shevlin Park Rd
Bend, OR 977037101

Call 5413897741 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

2165 Nw Shevlin Park Rd

Bend, OR 977037101

Telephone 5413897741
Organization at the Same NPPES Address or Phone
Praxis Health, Pc Facility NPI 1154280006

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 White River Junction, VT. See the list

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

CMS Doctors and Clinicians lists 1 group name: Praxis Health Pc. 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

2020

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

6 years (graduated 2020)

CMS Doctors and Clinicians data list 2020 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

2020

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

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

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)

Melanie Black 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

Can order Medicare-covered services

CMS lists Melanie Black as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

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

Guide: What ordering and referring status means

Compared with the same specialty in Bend and Oregon

6 active clinicians are listed under Nurse Practitioner - Primary Care with a practice address in Bend, OR (107 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

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: 2025-05-06
Nurse Practitioner - Primary Care Primary Specialty

NUCC Taxonomy Code: 363LP2300X

License # reported to NPPES VT 101.0134595
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 - NURSE PRACTITIONER

Medicare Enrollment ID

I20250225001419

Enrollment State Jurisdiction

OR

PECOS Control ID

3375063035

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

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

Praxis Health Pc

2175 Nw Shevlin Park Rd, Bend, OR 977037101

Phone: 5413897741

Secondary Practice Locations

163 Veterans Dr

White River Junction, VT 050090001

Phone: 8022959363

Clinicians Sharing This Practice Address or Phone

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

34 listed
Dr. Ann Bird , MD

Obstetrics & Gynecology

NPI 1568438836

Doctor of Medicine (M.D.)

NPI 1710901996

Doctor of Medicine (M.D.)

Kara Brown , NP

Nurse Practitioner - Family

NPI 1427324342

Nurse Practitioner

Dr. William Cates , DO

Family Medicine

NPI 1508443110

Doctor of Osteopathic Medicine (D.O.)

NPI 1376506444

Doctor of Medicine (M.D.)

Elysia Churchman

Physician Assistant - Surgical

NPI 1578921003

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 May 06, 2025

Registered at 2165 NW SHEVLIN PARK RD, BEND, OR 977037101 (Tel: 5413897741)

πŸ“
Updated Business Mailing Address May 06, 2025

Registered at PO BOX 1517, PENDLETON, OR 978010410 (Tel: 8777081119)

βœ…
NPI Profile Active July 20, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 20, 2020

Registered at 163 VETERANS DR, WHITE RIVER JUNCTION, VT 050090001 (Tel: 8022959363)

πŸ“
Business Mailing Address (Initial Record) July 20, 2020

Registered at 163 VETERANS DR, WHITE RIVER JUNCTION, VT 050090001

πŸ‘€
Provider Name / Credentials (Initial Record) July 20, 2020

Recorded as MELANIE BLACK, AGNP-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2020

Nurse Practitioner (license number reported to NPPES: VT 101.0134595)

🟒
Initial NPI Registration & Enumeration July 20, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1750999470
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2020
Last Update: May 06, 2025
Sole Proprietor: No

Other Nurse Practitioner - Primary Care Specialists in Bend

Healthcare providers in Bend

Mailing Address

Po Box 1517

Pendleton, OR 978010410

Phone: 8777081119

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.