WATERFALL CLINIC, INCORPORATED
NPI 1619673704
Nurse Practitioner - Psychiatric/Mental Health 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 1619673704), doing business as Waterfall Behavorial Health Center, is a healthcare organization registered as a psychiatric/mental health in Coos Bay, Oregon and active in the NPI registry since February 2023. The organization lists Teresea Colleen Bratcher, Finance Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 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 1619673704. It was assigned to this organization in the NPPES registry on February 1, 2023. The provider is doing business as Waterfall Behavorial Health Center.
Where is Waterfall Clinic, Incorporated located?
Waterfall Clinic, Incorporated is located at 1300 N Bayshore Drive Suite 202, 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 Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
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 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 1619673704
Psychiatric/Mental Health organization in Coos Bay, Oregon. Organization record, active in the CMS NPPES registry since February 1, 2023.
## Identity
- **NPI:** 1619673704 (Entity type: Organization)
- **Enumerated:** February 1, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Also known as:** Waterfall Behavorial Health Center (Doing Business As)
- **Organization subpart:** Yes (part of Waterfall Clinic, Incorporated)
- **Authorized official:** Teresea Bratcher, FINANCE MANAGER
## Practice location
- **Address:** 1300 N BAYSHORE DRIVE, SUITE 202, 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/1619673704/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 1, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1619673704) · Data from the CMS NPPES public registry.