JONATHAN MCCULLY PMHNP
NPI 1396334264
Nurse Practitioner - Psychiatric/Mental Health in Bend, OR
About Jonathan Mccully Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONATHAN MCCULLY PMHNP (NPI 1396334264) is an individual psychiatric/mental health provider in Bend, Oregon, licensed in Oregon (202010015NP-PP) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted 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)
Jonathan Mccully Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BEND, OR 97701
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 Jonathan Mccully's NPI number?
The NPI number for Jonathan Mccully is 1396334264. It was assigned to this individual provider in the NPPES registry on January 14, 2021.
Where is Jonathan Mccully located?
Jonathan Mccully practices at 61822 Ten Barr Ranch Rd, Bend, OR 97701. The listed phone number is (541) 419-4054.
What is Jonathan Mccully's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jonathan Mccully enrolled in Medicare?
Yes. Jonathan Mccully is registered in the Medicare PECOS enrollment system.
What insurance does Jonathan Mccully accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Jonathan Mccully 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 Jonathan Mccully was last updated on April 17, 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.
# Jonathan Mccully, PMHNP · NPI 1396334264
Psychiatric/Mental Health physician in Bend, Oregon. Individual provider, active in the CMS NPPES registry since January 14, 2021.
## Identity
- **NPI:** 1396334264 (Entity type: Individual)
- **Enumerated:** January 14, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 202010015NP-PP (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 61822 TEN BARR RANCH RD, Bend, OR 97701-9314
- **Phone:** (541) 419-4054
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1396334264) · Data from the CMS NPPES public registry.