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KENDRA I MIFFLIN NP
NPI 1245811769
Nurse Practitioner - Family in Redmond, OR

Active since April 16, 2021PECOS EnrolledAccepts Medicare Assignment
1253 NW CANAL BLVD, REDMOND, OR 97756(541) 548-8131(541) 460-4028 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 2, 2024, Apr 16, 2021 (2 updates tracked since 2021).

About Kendra I Mifflin Np NPPES

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

KENDRA I MIFFLIN NP (NPI 1245811769) is an individual family provider in Redmond, Oregon, licensed in Oregon (10012039) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with St Charles Medical Center - Bend, and maintains a secondary practice location in Avon.

NPPES Registry Identity

NPI1245811769
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKENDRA I MIFFLINCredential: NP
Location Address1253 NW CANAL BLVDRedmond, OR 97756-1334
Mailing AddressPo Box 6095Bend, OR 97708-6095 · (541) 706-5922 · Fax (541) 706-6869
Phone(541) 548-8131
Fax(541) 460-4028
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 16, 2021
Last NPPES UpdateJanuary 2, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2024
✔ NPI 1245811769 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
Licenses✔ Licensed in OR · 10012039✔ Licensed in IN · 71011032A
1253 NW CANAL BLVD, Redmond, OR 97756
Open in Google Maps ↗

Secondary Practice Location 1

Location 11111 Ronald Reagan PkwyAvon, IN 46123-7085 · Phone (317) 217-3500 · Fax (317) 217-3551

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Moda Health Plan, Inc., PacificSource Health Plans.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

Kendra I Mifflin Np 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 ID840608402
PECOS Enrollment IDI20231229002451
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Kendra Mifflin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Charles Health System, Inc.
16 mi
Clinical
2542 NE COURTNEY DR
Bend, OR 97701
  • Reassigned Medicare billing, Oregon enrollment
  • Also billed through NPI 1710160445 (Oregon), NPI 1356389894 (Oregon)
  • 307 clinicians in this Medicare group
NPI 1780698696 (541) 706-2768
St. Charles Health System, Inc.
16 mi
Family Medicine
2500 NE NEFF RD
Bend, OR 97701
  • Reassigned Medicare billing, Oregon enrollment
  • 348 clinicians in this Medicare group
NPI 1023331303 (541) 382-4321

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 2

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
48 services46 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
45 services45 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Charles Medical Center - Bend

Acute Care Hospitals · Bend, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380047
Location2500 NE Neff RoadBend, OR 97701 · Deschutes County
Emergency services Birthing friendly

St Charles Medical Center Prineville

Critical Access Hospitals · Prineville, OR
OwnershipVoluntary non-profit - Private
CMS Certification Number381313
Location384 SE Combs Flat RoadPrineville, OR 97754 · Crook County
Emergency services

St Charles Madras

Critical Access Hospitals · Madras, OR
OwnershipVoluntary non-profit - Private
CMS Certification Number381324
Location470 NE A StreetMadras, OR 97741 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97756 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

GLYNDA GAYE CRABTREE MD
Emergency Medicine
1253 NW CANAL BLVD
REDMOND, OR 97756
Deschutes County (541) 548-8131
DR. CLAYTON STANFORD GARTHE M.D.
Emergency Medicine
1253 NW CANAL BLVD
REDMOND, OR 97756
Deschutes County (541) 548-8131
ANDREW STOKES KLEAVELAND MD
Emergency Medicine
1253 NW CANAL BLVD
REDMOND, OR 97756
Deschutes County (541) 548-8131
MINDY LIPSITZ M.D.
Emergency Medicine
1253 NW CANAL BLVD
REDMOND, OR 97756
Deschutes County (541) 548-8131
ANGUS YATMAN NG MD
Emergency Medicine
1253 NW CANAL BLVD
REDMOND, OR 97756
Deschutes County (541) 548-8131
JAKE METOLIUS WAITS D.O.
Emergency Medicine
1253 NW CANAL BLVD
REDMOND, OR 97756
Deschutes County (541) 548-8131
MATTHEW M ESCHELBACH DO
Emergency Medicine
1253 NW CANAL BLVD
REDMOND, OR 97756
Deschutes County (541) 548-8131
CASCADE PROFESSIONAL BUSINESS SERVICE
Internal Medicine (Critical Care Medicine)
1253 NW CANAL BLVD
REDMOND, OR 97756
Deschutes County (541) 526-6556

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 Kendra Mifflin's NPI number?

The NPI number for Kendra Mifflin is 1245811769. It was assigned to this individual provider in the NPPES registry on April 16, 2021.

Where is Kendra Mifflin located?

Kendra Mifflin practices at 1253 NW Canal Blvd, Redmond, OR 97756. The listed phone number is (541) 548-8131.

What is Kendra Mifflin's specialty?

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

Is Kendra Mifflin enrolled in Medicare?

Yes. Kendra Mifflin 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 organizations bill Medicare for Kendra Mifflin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kendra Mifflin reassigns Medicare benefits to 2 organizations: St. Charles Health System, Inc. (Bend, OR) and St. Charles Health System, Inc. (Bend, OR). Each 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 Kendra Mifflin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kendra Mifflin accept?

Health plans from CareSource, Moda Health Plan, Inc. and PacificSource Health Plans list Kendra Mifflin 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.

Is Kendra Mifflin affiliated with any hospitals?

According to CMS data, Kendra Mifflin is affiliated with St Charles Medical Center - Bend, St Charles Medical Center Prineville and St Charles Madras.

When was this NPI record last updated?

The NPPES record for Kendra Mifflin was last updated on January 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.