PINE SPRINGS HEALTH LLC
NPI 1013697994
Clinic/Center - Primary Care in Bend, OR
About Pine Springs Health Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PINE SPRINGS HEALTH LLC (NPI 1013697994) is a healthcare organization registered as a primary care in Bend, Oregon and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through January 9, 2028 and lists Divya Sharma, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pine Springs Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Pine Springs Health LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 38D2297108
Pine Springs Health · Bend, ORFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Pine Springs Health LLC's NPI number?
The NPI number for Pine Springs Health LLC is 1013697994. It was assigned to this organization in the NPPES registry on July 24, 2023.
Where is Pine Springs Health LLC located?
Pine Springs Health LLC is located at 711 NE Irving Ave, Bend, OR 97701. The listed phone number is (541) 330-9110.
What is Pine Springs Health LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Pine Springs Health LLC enrolled in Medicare?
Yes. Pine Springs Health LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pine Springs Health LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Pine Springs Health LLC, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pine Springs Health LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 38D2297108) is associated with this NPI, valid through January 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Pine Springs Health LLC accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Pine Springs Health LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Pine Springs Health LLC was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Pine Springs Health Llc · NPI 1013697994
Primary Care organization in Bend, Oregon. Organization record, active in the CMS NPPES registry since July 24, 2023.
## Identity
- **NPI:** 1013697994 (Entity type: Organization)
- **Enumerated:** July 24, 2023
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Divya Sharma, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 711 NE IRVING AVE, Bend, OR 97701-4738
- **Phone:** (541) 330-9110
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Internal Medicine (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 24, 2026
- **Other identifiers:** Medicaid 500830385 (OR)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1013697994) · Data from the CMS NPPES public registry.