WALLOWA MEMORIAL HOSPITAL
Medicare Clinicians for NPI 1558366229
General Acute Care Hospital - Critical Access in Enterprise, OR

Active since June 17, 2005
601 MEDICAL PARKWAY, ENTERPRISE, OR 97828(541) 426-3111(541) 426-1901 Get Directions

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Clinicians Billing Medicare Through This Organization CMS

Clinicians who reassign their Medicare billing to this organization, per CMS enrollment records.

Wallowa Memorial Hospital in Enterprise, OR bills Medicare for 25 clinicians across 7 Medicare specialties. The largest specialties are Family Practice with 11, Certified Registered Nurse Anesthetist (CRNA) with 4 and Emergency Medicine with 3. Of these, 1 practice at this address and 6 within 10 miles. Search by name or filter by specialty; each name links to that clinician's NPI profile.

25Clinicians
7Medicare specialties
21PECOS enrolled
23Accept Medicare
25 clinicians in 7 specialties

Family Practice (11)

Family Practice
NPI 1750761284
603 MEDICAL PKWY
Enterprise, OR 97828
(541) 426-4502
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1164456539
603 MEDICAL PARKWAY
Enterprise, OR 97828
(541) 426-4502
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1326508631
603 MEDICAL PKWY
Enterprise, OR 97828
(541) 426-4502
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1023429883
603 MEDICAL PKWY
Enterprise, OR 97828
(541) 426-4502
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1295773463
100 N. EAST ST
Joseph, OR 97846
(541) 432-7777
✔ PECOS✔ Accepts Medicare10 mi
Family Practice
NPI 1609821263
616 W NORTH ST
Enterprise, OR 97828
(541) 426-3797
✔ PECOS✔ Accepts Medicare16 mi
Family Practice
NPI 1073924361
3950 17TH ST STE A
Baker City, OR 97814
(541) 523-1001
✔ PECOS✔ Accepts Medicare52 mi
Family Practice
NPI 1306891783
3325 POCAHONTAS
Baker City, OR 97814
(541) 523-8111
✔ PECOS52 mi
Family Practice
NPI 1578825022
777 N RAYMOND ST
Boise, ID 83704
(208) 514-2500
✔ PECOS✔ Accepts Medicare135 mi
Family Practice
NPI 1003499211
777 N RAYMOND ST
Boise, ID 83704
(208) 514-2500
✔ PECOS✔ Accepts Medicare135 mi
Family Practice
NPI 1710273057
104 W 5TH AVE SUITE 200W
Spokane, WA 99204
(509) 624-2313
✔ PECOS✔ Accepts Medicare153 mi

Certified Registered Nurse Anesthetist (CRNA) (4)

Certified Registered Nurse Anesthetist (CRNA)
NPI 1649638875
900 SUNSET DR
La Grande, OR 97850
(541) 963-8421
✔ Accepts Medicare41 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1811537012
118 E HASKELL ST
Winnemucca, NV 89445
(775) 623-5222
✔ Accepts Medicare309 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1972801082
311 S CLARK ST
Carroll, IA 51401
(712) 792-3581
✔ Accepts Medicare1,142 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1871503748
604 MEDICAL PARKWAY
Enterprise, OR 97828
(541) 426-5306
✔ Accepts Medicare

Emergency Medicine (3)

Emergency Medicine
NPI 1295772291
1601 SE COURT AVENUE
Pendleton, OR 97801
(541) 276-5121
✔ PECOS✔ Accepts Medicare74 mi
Emergency Medicine
NPI 1598842650
3600 NW SAMARITAN DRIVE
Corvallis, OR 97330
(541) 753-1909
✔ PECOS✔ Accepts Medicare298 mi
Emergency Medicine
NPI 1821475757
500 SW RAMSEY AVE
Grants Pass, OR 97527
(541) 472-7000
✔ PECOS367 mi

Orthopedic Surgery (3)

Orthopedic Surgery
NPI 1619124906
8854 W EMERALD ST STE 140
Boise, ID 83704
(208) 321-4790
✔ PECOS✔ Accepts Medicare135 mi
Orthopedic Surgery
NPI 1467454181
15755 SW SEQUOIA PKWY STE 200
Tigard, OR 97224
(503) 639-6002
✔ PECOS✔ Accepts Medicare266 mi
Orthopedic Surgery
NPI 1033171772
8901 WISCONSIN AVE
Bethesda, MD 20889
(301) 295-9183
✔ PECOS✔ Accepts Medicare2,086 mi

General Surgery (2)

General Surgery
NPI 1588658801
603 MEDICAL PARKWAY
Enterprise, OR 97828
(541) 426-3870
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1821202557
1014 SAINT CLAIR BLVD SUITE 3015
Gonzales, LA 70737
(225) 743-2455
✔ PECOS✔ Accepts Medicare1,770 mi

Podiatry (1)

Podiatry
NPI 1114507795
601 MEDICAL PKWY
Enterprise, OR 97828
(541) 426-3111
✔ PECOS✔ Accepts MedicareSame address

Urology (1)

Urology
NPI 1467815530
8854 W EMERALD ST STE 140
Boise, ID 83704
(208) 321-4790
✔ PECOS✔ Accepts Medicare135 mi
No clinicians match the current filters.

About this data

Medicare reassignment. A clinician who works for a hospital, clinic or medical group usually signs a Medicare reassignment (form CMS-855R). It lets the organization bill Medicare for the clinician's services and receive the payment. This page lists the clinicians whose reassignment to Wallowa Memorial Hospital appears in the CMS Revalidation Reassignment List.

Who is included. Clinicians who bill Medicare under their own NPI through this organization. A clinician can reassign to more than one organization, so the same name may also appear under other groups.

✔ PECOS
Enrolled in Medicare through PECOS, CMS's enrollment system, and eligible to order and refer for Medicare patients.
✔ Accepts Medicare
Accepts Medicare assignment, which means taking the Medicare-approved amount as full payment for covered services.
Same address 4.2 mi
Straight-line distance from this NPI's practice location to the clinician's practice address.

Addresses and phone numbers come from each clinician's own NPPES record, so they may point to another office or to the clinician's own practice.

Source: CMS Revalidation Reassignment List, October 2026 release; addresses, phone numbers and Medicare status from NPPES and PECOS. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.