LYNNE OLDHAM PHD, RD, CDE, CHES
NPI 1235161928
Dietitian, Registered - Nutrition, Pediatric in Bend, OR

Active since July 06, 2006Accepts Medicare Assignment
2036 NE WILLIAMSON CT, BEND, OR 97701(541) 706-6348 Get Directions Write a Review

NPPES record last updated: November 3, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lynne Oldham Phd, Rd, Cde, Ches NPPES

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

LYNNE OLDHAM PHD, RD, CDE, CHES (NPI 1235161928) is an individual nutrition, pediatric provider in Bend, Oregon, licensed in Oregon (653) and active in the NPI registry since July 2006. She maintains a secondary practice location in Bend and is a graduate of Other (2002).

NPPES Registry Identity

NPI1235161928
Entity TypeIndividualFemale
Primary Taxonomy133VN1004X
Provider Legal NameLYNNE OLDHAMCredential: PHD, RD, CDE, CHES
Location Address2036 NE WILLIAMSON CTBend, OR 97701-3771
Mailing Address2676 Nw Pickett CtBend, OR 97701-6807 · (541) 598-4179 · Fax (541) 388-9261
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 6, 2006
Last NPPES UpdateNovember 3, 2022
NPPES CertifiedNovember 3, 2022
✔ NPI 1235161928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, PediatricDietary & Nutritional Service Providers
Taxonomy Code133VN1004X
License✔ Licensed in OR · 653
Definition
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
2036 NE WILLIAMSON CT, Bend, OR 97701

Secondary Practice Location 1

Location 12676 NW Pickett CtBend, OR 97701-6807 · Phone (541) 598-4179 · Fax (541) 388-9261

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lynne Oldham Phd, Rd, Cde, Ches is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082718333
PECOS Enrollment IDI20070327000466

Medicare Billing Reassignment

Medicare enrollment records show Lynne Oldham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
2500 NE NEFF RD
Bend, OR 97701
  • Reassigned Medicare billing, Oregon enrollment
  • 348 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure for nutrition management, each 15 minutes 97802
This is a 15-minute session focused on managing your nutrition. A professional will assess your dietary habits and provide personalized advice to improve your health. It can help manage weight, control chronic diseases, and promote overall wellbeing.
52 services13 patients

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
2036 NE WILLIAMSON CT
BEND, OR 97701
Nutritionist
2036 NE WILLIAMSON CT
BEND, OR 97701
Dietitian, Registered
2036 NE WILLIAMSON CT
BEND, OR 97701
Audiologist
2036 NE WILLIAMSON CT, SUITE 200
BEND, OR 97701
Dietitian, Registered
2036 NE WILLIAMSON CT
BEND, OR 97701
Dietitian, Registered
2036 NE WILLIAMSON CT
BEND, OR 97701
Dietitian, Registered
2036 NE WILLIAMSON CT
BEND, OR 97701
Dietitian, Registered
2036 NE WILLIAMSON CT
BEND, OR 97701

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 Lynne Oldham's NPI number?

The NPI number for Lynne Oldham is 1235161928. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Lynne Oldham located?

Lynne Oldham practices at 2036 NE Williamson Ct, Bend, OR 97701. The listed phone number is (541) 706-6348.

What is Lynne Oldham's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Pediatric, with taxonomy code 133VN1004X.

Is Lynne Oldham enrolled in Medicare?

Yes. Lynne Oldham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Lynne Oldham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lynne Oldham reassigns Medicare benefits to St. Charles Health System, Inc. (Bend, OR). The 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 Lynne Oldham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lynne Oldham accept?

Health plans from PacificSource Health Plans and Providence Health Plan list Lynne Oldham 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 Lynne Oldham was last updated on November 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.