DR. DANETTE RAI ELLIOTT-MULLENS DO
NPI 1417977042
Internal Medicine in Bend, OR

Q: What is Danette Elliott-mullens's NPI number?

The NPI number for Danette Elliott-mullens is 1417977042. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Q: What is Danette Elliott-mullens's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since July 19, 2006PECOS Enrolled

2650 NE COURTNEY DR, BEND, OR 97701(541) 647-5200 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 11, 2024, Apr 17, 2017 (2 updates tracked since 2017).

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About Dr. Danette Rai Elliott-mullens Do NPPES

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

DR. DANETTE RAI ELLIOTT-MULLENS DO (NPI 1417977042) is an individual internal medicine provider in Bend, Oregon, licensed in Oregon (DO150943) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417977042

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. DANETTE RAI ELLIOTT-MULLENSCredential: DO

Location Address2650 NE COURTNEY DRBend, OR 97701-7636

Mailing Address660 Mason Ridge Center Dr Ste 300Saint Louis, MO 63141-8512 · (314) 448-3791 · Fax (314) 996-7658

Phone(541) 647-5200

Sole ProprietorNo

Enumeration DateJuly 19, 2006

Last NPPES UpdateApril 11, 20242 updates tracked since enumeration

NPPES CertifiedApril 11, 2024

✔ NPI 1417977042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in OR · DO150943✔ Licensed in TX · K9775

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X · License K9775 (TX), DO150943 (OR)

2650 NE COURTNEY DR, Bend, OR 97701

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Other Identifiers 5

Medicaid143444105TX

Other15402701TX · Medicaid Tpi Billing Number

Other2023050669MO · Mo State Board Of Registration

Other8AJ420TX · Bcbs Indiv Prov #

Medicaid500621599OR

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Danette Rai Elliott-mullens Do 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.

Medicare Billing Reassignment

Medicare enrollment records show Danette Elliott-mullens reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physician Groups, Lc

1,516 mi

Primary Care

1600 N MORLEY ST, SUITE A120
Moberly, MO 65270

Reassigned Medicare billing, Missouri enrollment
611 clinicians in this Medicare group

NPI 1811063936 (660) 263-1225

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

38 services30 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

26 services22 patients

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.

New Patient

$126.25 typical visit price

range $54.96 – $166.64

Typical copayment $31.56 (range $13.74 – $41.66)

Most-billed visit code 99204

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 13

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

CLEAR CHOICE HEALTH PLANS, INC.

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