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WHOLISTIC WELLNESS OF THE WEST LLC
NPI 1093413452
Nurse Practitioner - Family in Eugene, OR

Active since February 15, 2023CLIA 38D2098577 · Waiver
1755 COBURG RD UNIT 401, EUGENE, OR 97401(541) 255-3905(541) 255-3959 Get Directions Write a Review

NPPES record last updated: February 15, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wholistic Wellness Of The West Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHOLISTIC WELLNESS OF THE WEST LLC (NPI 1093413452) is a healthcare organization registered as a family in Eugene, Oregon and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through July 8, 2027 and lists Kimberlee Warner, Admin, as its authorized official.

NPPES Registry Identity

NPI1093413452
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameWHOLISTIC WELLNESS OF THE WEST LLC
Location Address1755 COBURG RD UNIT 401Eugene, OR 97401-4984
Mailing Address1755 Coburg Rd Unit 401Eugene, OR 97401-4984 · (541) 255-3905 · Fax (541) 255-3959
Phone(541) 255-3905
Fax(541) 255-3959
Organization SubpartNo
Authorized OfficialKimberlee WarnerAdmin · (541) 255-3905
Enumeration DateFebruary 15, 2023
NPPES CertifiedFebruary 15, 2023
✔ NPI 1093413452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1755 COBURG RD UNIT 401, Eugene, OR 97401
Open in Google Maps ↗

Other Identifiers 1

Medicaid137345OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.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)

Wholistic Wellness Of The West Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wholistic Wellness Of The West LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Deborah Reynolds, ANP ACNP
Nurse Practitioner
NPI 1821162728
1755 COBURG RD UNIT 401
Eugene, OR 97401
(541) 255-3905
✔ PECOS✔ Accepts MedicareSame address

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 38D2098577

Wholistic Wellness Of The West, LLC · Eugene, OR
Active · expires Jul 8, 2027
CLIA Number38D2098577
Laboratory TypePhysician Office
Certificate Effective DateJuly 9, 2025
Certificate Expiration DateJuly 8, 2027
Laboratory DirectorDeborah Reynolds
Laboratory Phone(541) 255-3905
Laboratory LocationWholistic Wellness Of The West, LLC1755 Coburg Rd, Ste 401, Eugene, OR 97401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently 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 Wholistic Wellness Of The West LLC's NPI number?

The NPI number for Wholistic Wellness Of The West LLC is 1093413452. It was assigned to this organization in the NPPES registry on February 15, 2023.

Where is Wholistic Wellness Of The West LLC located?

Wholistic Wellness Of The West LLC is located at 1755 Coburg Rd Unit 401, Eugene, OR 97401. The listed phone number is (541) 255-3905.

What is Wholistic Wellness Of The West LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Wholistic Wellness Of The West LLC enrolled in Medicare?

Yes. Wholistic Wellness Of The West LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wholistic Wellness Of The West LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Wholistic Wellness Of The West LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Wholistic Wellness Of The West LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2098577) is associated with this NPI, valid through July 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wholistic Wellness Of The West LLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Wholistic Wellness Of The West 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 Wholistic Wellness Of The West LLC was last updated on February 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.