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MAVIE LLC
NPI 1366270365
Family Medicine in La Pine, OR

Active since July 23, 2024
1220 YOKE RD, LA PINE, OR 97739(888) 711-5993(888) 711-6216 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 5, 2026, May 22, 2026, May 11, 2026 and 6 more (9 updates tracked since 2024).

About Mavie Llc NPPES

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

MAVIE LLC (NPI 1366270365) is a healthcare organization registered as a family medicine in La Pine, Oregon and active in the NPI registry since July 2024. The organization maintains 6 additional practice locations and lists Ravikumar Patel, Partner, as its authorized official.

NPPES Registry Identity

NPI1366270365
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMAVIE LLC
Location Address1220 YOKE RDLa Pine, OR 97739-8981
Mailing Address1686 E Wildwood DrColumbia City, IN 46725-8682 · (888) 711-5993 · Fax (888) 711-6216
Phone(888) 711-5993
Fax(888) 711-6216
Organization SubpartNo
Authorized OfficialRavikumar PatelPartner · (864) 905-7900
Enumeration DateJuly 23, 2024
Last NPPES UpdateJune 5, 20269 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1366270365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
1220 YOKE RD, La Pine, OR 97739
Open in Google Maps ↗

Secondary Practice Locations 6

Location 16601 E McDowell Rd Apt 2032Scottsdale, AZ 85257-3172 · Phone (216) 905-7900 · Fax (864) 878-1528
Location 2180 M. University Ave, Ste 270Provo, UT 84601-5648 · Phone (888) 711-5993 · Fax (888) 711-6216
Location 3943 W Overland Rd Ste 106Meridian, ID 83642-6541 · Phone (888) 711-5993 · Fax (888) 711-6216
Location 4555 SE Mlk Blvd Ste 105Portland, OR 97214-2595 · Phone (888) 711-5993 · Fax (888) 711-6216
Location 52375 E Camelback Rd Ste 600Phoenix, AZ 85016-3493 · Phone (888) 711-5993 · Fax (888) 711-6216
Location 65830 E 2nd St Ste 537Casper, WY 82609-4308 · Phone (888) 711-5993 · Fax (888) 711-6216

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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, Moda Health Plan, Inc., Molina Healthcare and more.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)

Mavie Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Mavie LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner7
Mental Health Counselor3
Family Practice1

Clinicians, nearest first (11)

Bradford Chaney, FNP
Nurse Practitioner
NPI 1417383886
400 HICKORY ST NW STE 303
Albany, OR 97321
(541) 812-5275
✔ PECOS105 mi
Chidimma Njoku
Nurse Practitioner
NPI 1730524885
353 N 4TH AVE SUITE 110
Pocatello, ID 83201
(208) 233-7832
✔ PECOS✔ Accepts Medicare464 mi
Stefanie Simons Camassi, AGNP
Nurse Practitioner
NPI 1902535107
1878 W 12600 S STE 336
Riverton, UT 84065
(801) 879-9104
✔ PECOS538 mi
Mandy Jarvis, APRN
Nurse Practitioner
NPI 1366903445
120 WINSTON DR STE 101
Rock Springs, WY 82901
(307) 352-9602
✔ PECOS✔ Accepts Medicare644 mi
Shirley Parks, FNP
Nurse Practitioner
NPI 1396927000
4650 W SUNSET BLVD MAILSTOP #60
Los Angeles, CA 90027
(323) 361-7304
✔ PECOS✔ Accepts Medicare679 mi
Shreya Brahmbhatt, NP
Nurse Practitioner
NPI 1093577058
5830 E 2ND ST STE 537
Casper, WY 82609
(888) 711-5993
✔ PECOS776 mi
Randall Godwin, M.ED., LIAC
Mental Health Counselor
NPI 1205160108
20 E THOMAS RD STE 2200
Phoenix, AZ 85012
(844) 843-7279
✔ PECOS✔ Accepts Medicare866 mi
Nicole Rogers, LISAC
Mental Health Counselor
NPI 1265838890
3222 N 37TH ST
Phoenix, AZ 85018
(602) 599-5554
✔ PECOS868 mi
Kimberly Greenwood, LISAC
Mental Health Counselor
NPI 1043994197
6262 E BROADWAY RD STE 110
Mesa, AZ 85206
(480) 210-5570
✔ PECOS882 mi
Olaide Owoloye
Nurse Practitioner
NPI 1053971804
4200 CARRIAGE WAY
Weatherford, OK 73096
(405) 814-1915
✔ PECOS✔ Accepts Medicare1,337 mi
Flora Sadri-Azarbayejani, DO
Family Practice
NPI 1023088820
161 JACKSON ST
Lowell, MA 01852
(978) 937-9700
✔ PECOS✔ Accepts Medicare2,504 mi

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 Mavie LLC's NPI number?

The NPI number for Mavie LLC is 1366270365. It was assigned to this organization in the NPPES registry on July 23, 2024.

Where is Mavie LLC located?

Mavie LLC is located at 1220 Yoke Rd, La Pine, OR 97739. The listed phone number is (888) 711-5993.

What is Mavie LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mavie LLC enrolled in Medicare?

Yes. Mavie LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mavie LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Mavie 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. The largest specialties are Nurse Practitioner (7), Mental Health Counselor (3) and Family Practice (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mavie LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Molina Healthcare, Regence BlueCross BlueShield of Oregon and Regence BlueCross BlueShield of Utah list Mavie 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 Mavie LLC was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.