WATERFALL CLINIC, INCORPORATED
NPI 1508133299
Clinic/Center - Federally Qualified Health Center (FQHC) in Coos Bay, OR
About Waterfall Clinic, Incorporated NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WATERFALL CLINIC, INCORPORATED (NPI 1508133299) is a healthcare organization registered as a federally qualified health center (fqhc) in Coos Bay, Oregon and active in the NPI registry since November 2011. The organization lists Ava Kathleen Mcferon, Ceo Asst., as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Waterfall Clinic, Incorporated is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
35Medicare enrollment records show 35 clinicians reassign Medicare billing to Waterfall Clinic, Incorporated, which bills Medicare for the services they deliver. Of these, 19 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 35Source: 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 Waterfall Clinic, Incorporated's NPI number?
The NPI number for Waterfall Clinic, Incorporated is 1508133299. It was assigned to this organization in the NPPES registry on November 23, 2011.
Where is Waterfall Clinic, Incorporated located?
Waterfall Clinic, Incorporated is located at 826 S 11th St, Coos Bay, OR 97420. The listed phone number is (541) 756-6232.
What is Waterfall Clinic, Incorporated's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Waterfall Clinic, Incorporated enrolled in Medicare?
Yes. Waterfall Clinic, Incorporated is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Waterfall Clinic, Incorporated?
According to the CMS Revalidation Reassignment List (October 2026 release), 35 clinicians in 8 Medicare specialties reassign their Medicare billing to Waterfall Clinic, Incorporated. 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 (18), Clinical Social Worker (7) and Mental Health Counselor (4). Of these, 19 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Waterfall Clinic, Incorporated was last updated on February 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Waterfall Clinic, Incorporated · NPI 1508133299
Federally Qualified Health Center (FQHC) organization in Coos Bay, Oregon. Organization record, active in the CMS NPPES registry since November 23, 2011.
## Identity
- **NPI:** 1508133299 (Entity type: Organization)
- **Enumerated:** November 23, 2011
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** Yes (part of Waterfall Clinic, Incorporated)
- **Authorized official:** Ava Mcferon, CEO ASST.
## Practice location
- **Address:** 826 S 11TH ST, Coos Bay, OR 97420
- **Phone:** (541) 756-6232 · **Fax:** (541) 756-6234
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 35 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (18), Clinical Social Worker (7), Mental Health Counselor (4); 19 practice within 10 miles; [full list](https://npiprofile.com/npi/1508133299/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 26, 2018
- **Other identifiers:** Medicaid 500647633 (OR)
---
Source: [NPI Profile](https://npiprofile.com/npi/1508133299) · Data from the CMS NPPES public registry.