PROVIDENCE HEALTH & SERVICES OREGON
NPI 1417978164
Skilled Nursing Facility in Mount Angel, OR

Active since July 21, 2006
540 S MAIN ST, MOUNT ANGEL, OR 97362(503) 845-6841(503) 845-9229 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 15, 2025, Jan 28, 2022, Jul 2, 2020 (3 updates tracked since 2020).

About Providence Health & Services Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES OREGON (NPI 1417978164), doing business as Providence Benedictine Nursing Center, is a healthcare organization registered as a skilled nursing facility in Mount Angel, Oregon and active in the NPI registry since July 2006. The organization lists Donald W Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1417978164
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePROVIDENCE HEALTH & SERVICES OREGON
Location Address540 S MAIN STMount Angel, OR 97362-9540
Mailing Address540 S Main StMount Angel, OR 97362-9540 · (503) 845-6841 · Fax (503) 845-9229
Fax(503) 845-9229
Organization SubpartNo
Authorized OfficialDonald W AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateJuly 21, 2006
Last NPPES UpdateMay 15, 20253 updates tracked since enumeration
NPPES CertifiedMay 15, 2025
✔ NPI 1417978164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in OR · 385018
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X · License 385018 (OR)
540 S MAIN ST, Mount Angel, OR 97362

Other Names 1

Doing Business AsProvidence Benedictine Nursing Center

Other Identifiers 1

Medicaid800006OR

Accepted 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)

Providence Health & Services Oregon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3,193

Medicare enrollment records show 3,193 clinicians reassign Medicare billing to Providence Health & Services Oregon, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 73

Family Practice500
Internal Medicine385
Nurse Practitioner186
Emergency Medicine185
Certified Registered Nurse Anesthetist (CRNA)173
Clinical Social Worker150
Pediatric Medicine150
Physical Therapist in Private Practice120
65 other specialties1,344

Nearest to this location (20)

See all 3,193
Certified Registered Nurse Anesthetist (CRNA)
NPI 1790730059
342 FAIRVIEW ST
Silverton, OR 97381
(503) 873-1500
✔ Accepts Medicare4.2 mi
Psychiatry
NPI 1730405598
1475 MOUNT HOOD AVE STE 160
Woodburn, OR 97071
(971) 983-5214
✔ PECOS✔ Accepts Medicare6.3 mi
Family Practice
NPI 1376686659
1475 MT HOOD AVE SILVERTON HOSPITAL IMMEDIATE CARE
Woodburn, OR 97071
(971) 983-5360
✔ PECOS✔ Accepts Medicare6.3 mi
Family Practice
NPI 1326508912
1175 MOUNT HOOD AVE
Woodburn, OR 97071
(503) 982-2000
✔ PECOS✔ Accepts Medicare6.4 mi
Family Practice
NPI 1073565305
1390 MERIDIAN DR
Woodburn, OR 97071
(503) 982-2174
✔ PECOS✔ Accepts Medicare6.5 mi
Pathology
NPI 1245554211
685 EVERGREEN RD
Woodburn, OR 97071
(503) 362-8385
✔ PECOS✔ Accepts Medicare6.9 mi
Nurse Practitioner
NPI 1841669439
5940 ULALI DR NE
Keizer, OR 97303
(800) 813-2000
✔ PECOS✔ Accepts Medicare10 mi
Family Practice
NPI 1174523757
5940 ULALI DR NE
Keizer, OR 97303
(800) 813-2000
✔ PECOS✔ Accepts Medicare10 mi
Registered Dietitian or Nutrition Professional
NPI 1588068522
5940 ULALI DR NE
Keizer, OR 97303
(503) 304-5738
✔ Accepts Medicare10 mi
Clinical Psychologist
NPI 1316358781
5940 ULALI DR NE
Keizer, OR 97303
(971) 413-5375
✔ PECOS✔ Accepts Medicare10 mi
Physical Therapist in Private Practice
NPI 1861604159
117 MCNARY ESTATES DR N
Keizer, OR 97303
(503) 400-7717
✔ Accepts Medicare11 mi
Mental Health Counselor
NPI 1013289578
3867 WOLVERINE ST NE BLDG F
Salem, OR 97305
(503) 588-5352
✔ PECOS12 mi
Clinical Social Worker
NPI 1083005748
2400 LANCASTER DR NE
Salem, OR 97305
(503) 361-5400
✔ PECOS✔ Accepts Medicare12 mi
Pediatric Medicine
NPI 1669904660
2400 LANCASTER DR NE
Salem, OR 97305
(503) 813-2000
✔ PECOS12 mi
Optometry
NPI 1538494414
2400 LANCASTER DR NE
Salem, OR 97305
(800) 813-2000
✔ PECOS✔ Accepts Medicare12 mi
Internal Medicine
NPI 1679932347
2400 LANCASTER DR NE
Salem, OR 97305
(800) 813-2000
✔ PECOS✔ Accepts Medicare12 mi
Nephrology
NPI 1780832998
2400 LANCASTER DR NE
Salem, OR 97305
(800) 813-2000
✔ PECOS✔ Accepts Medicare12 mi
Sleep Medicine
NPI 1124213251
2400 LANCASTER DR NE
Salem, OR 97305
(503) 571-2727
✔ PECOS✔ Accepts Medicare12 mi
Hospitalist
NPI 1215377049
2020 CAPITOL ST NE
Salem, OR 97301
(503) 399-2424
✔ PECOS✔ Accepts Medicare13 mi
Obstetrics/Gynecology
NPI 1033113055
633 JASON ST NE
Salem, OR 97301
(503) 581-8636
✔ PECOS✔ Accepts Medicare13 mi
See all 3,193 clinicians

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 Providence Health & Services Oregon's NPI number?

The NPI number for Providence Health & Services Oregon is 1417978164. It was assigned to this organization in the NPPES registry on July 21, 2006. The provider is doing business as Providence Benedictine Nursing Center.

Where is Providence Health & Services Oregon located?

Providence Health & Services Oregon is located at 540 S Main St, Mount Angel, OR 97362. The listed phone number is (503) 845-6841.

What is Providence Health & Services Oregon's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Is Providence Health & Services Oregon enrolled in Medicare?

Yes. Providence Health & Services Oregon is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence Health & Services Oregon?

According to the CMS Revalidation Reassignment List (October 2026 release), 3,193 clinicians in 73 Medicare specialties reassign their Medicare billing to Providence Health & Services Oregon. 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 Family Practice (500), Internal Medicine (385) and Nurse Practitioner (186). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Providence Health & Services Oregon accept?

Health plans from Kaiser Permanente and Providence Health Plan list Providence Health & Services Oregon 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 Providence Health & Services Oregon was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.