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

Q: 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.

Q: What is Kendra Mifflin's specialty?

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

Q: When was this NPI record last updated?

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

Active since April 16, 2021PECOS Enrolled

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: July 26, 2026.

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

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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 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

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

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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..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kendra I Mifflin Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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

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.

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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