WATERFALL COMMUNITY HEALTH CENTER
NPI 1619915113
Clinic/Center - Federally Qualified Health Center (FQHC) in North Bend, OR
About Waterfall Community Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WATERFALL COMMUNITY HEALTH CENTER (NPI 1619915113) is a healthcare organization registered as a federally qualified health center (fqhc) in North Bend, Oregon and active in the NPI registry since June 2006. The organization lists Andrea Trenner, Executive Director/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 4
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)
Waterfall Community Health Center 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 Community Health Center, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 19 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 1619915113. It was assigned to this organization in the NPPES registry on June 4, 2006. The provider is doing business as Waterfall Community Health Center.
Where is Waterfall Clinic Incorporated located?
Waterfall Clinic Incorporated is located at 1890 Waite St Suite 1, North Bend, OR 97459. 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, 8 practice at this address and 19 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Waterfall Clinic Incorporated accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Waterfall Clinic Incorporated 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 Waterfall Clinic Incorporated was last updated on June 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 Community Health Center · NPI 1619915113
Federally Qualified Health Center (FQHC) organization in North Bend, Oregon. Organization record, active in the CMS NPPES registry since June 4, 2006.
## Identity
- **NPI:** 1619915113 (Entity type: Organization)
- **Enumerated:** June 4, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Waterfall Clinic Incorporated
- **Organization subpart:** No
- **Authorized official:** Andrea Trenner, EXECUTIVE DIRECTOR/CEO
## Practice location
- **Address:** 1890 WAITE ST, SUITE 1, North Bend, OR 97459-1229
- **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); 8 practice at this address and 19 within 10 miles; [full list](https://npiprofile.com/npi/1619915113/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 30, 2017
- **Other identifiers:** Medicare OSCAR/certification 381902 (OR); Medicare PIN 120353 (OR); Medicaid 227623 (OR); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1619915113) · Data from the CMS NPPES public registry.