WILLAMETTE VALLEY MAMMOGRAPHY
NPI 1114969532
Specialist in Springfield, OR
About Willamette Valley Mammography NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLAMETTE VALLEY MAMMOGRAPHY (NPI 1114969532) is a healthcare organization registered as a specialist in Springfield, Oregon and active in the NPI registry since June 2006. The organization lists Vicki L Bridges, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Willamette Valley Mammography is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Willamette Valley Mammography, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mckenzie Medical Imaging PC's NPI number?
The NPI number for Mckenzie Medical Imaging PC is 1114969532. It was assigned to this organization in the NPPES registry on June 11, 2006. The provider is doing business as Willamette Valley Mammography.
Where is Mckenzie Medical Imaging PC located?
Mckenzie Medical Imaging PC is located at 960 N 16th St Suite 105, Springfield, OR 97477. The listed phone number is (541) 726-4699.
What is Mckenzie Medical Imaging PC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Mckenzie Medical Imaging PC enrolled in Medicare?
Yes. Mckenzie Medical Imaging PC is registered in the Medicare PECOS enrollment system.
When is Mckenzie Medical Imaging PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oregon, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Mckenzie Medical Imaging PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Diagnostic Radiology) reassigns their Medicare billing to Mckenzie Medical Imaging PC. 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.
What insurance does Mckenzie Medical Imaging PC accept?
Health plans from Kaiser Permanente and Moda Health Plan, Inc. list Mckenzie Medical Imaging PC 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 Mckenzie Medical Imaging PC was last updated on May 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Willamette Valley Mammography · NPI 1114969532
Specialist organization in Springfield, Oregon. Organization record, active in the CMS NPPES registry since June 11, 2006.
## Identity
- **NPI:** 1114969532 (Entity type: Organization)
- **Enumerated:** June 11, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Legal business name:** Mckenzie Medical Imaging Pc
- **Organization subpart:** No
- **Authorized official:** Vicki Bridges, OFFICE MANAGER
## Practice location
- **Address:** 960 N 16TH ST, SUITE 105, Springfield, OR 97477-4175
- **Phone:** (541) 726-4699 · **Fax:** (541) 744-6069
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Oregon, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Diagnostic Radiology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 21, 2009
- **Other identifiers:** Other C03559 (OR); Medicaid 018382 (OR); Medicare PIN R0000WCGGV (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1114969532) · Data from the CMS NPPES public registry.