Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LA PINE COMMUNITY HEALTH CENTER
NPI 1639316193
Clinic/Center - Federally Qualified Health Center (FQHC) in La Pine, OR

Active since January 20, 2009
51600 HUNTINGTON RD # 101, LA PINE, OR 97739(541) 536-3435(541) 536-8047 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 24, 2026, Aug 13, 2026, Feb 23, 2023 (3 updates tracked since 2023).

About La Pine Community Health Center NPPES

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

LA PINE COMMUNITY HEALTH CENTER (NPI 1639316193) is a healthcare organization registered as a federally qualified health center (fqhc) in La Pine, Oregon and active in the NPI registry since January 2009. The organization maintains a secondary practice location in La Pine and lists Marie Manes, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639316193
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLA PINE COMMUNITY HEALTH CENTER
Location Address51600 HUNTINGTON RD # 101La Pine, OR 97739-8887
Mailing Address51600 Huntington Rd # 101La Pine, OR 97739-8887 · (541) 536-3435 · Fax (541) 536-8047
Fax(541) 536-8047
Organization SubpartNo
Authorized OfficialMarie ManesCeo · (541) 536-3435
Enumeration DateJanuary 20, 2009
Last NPPES UpdateSeptember 24, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2026
✔ NPI 1639316193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
51600 HUNTINGTON RD # 101, La Pine, OR 97739

Secondary Practice Location 1

Location 151615 Bluewood AveLA Pine, OR 97739-9211 · Phone (541) 536-3435

Other Identifiers 1

Medicaid500609414OR

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

La Pine Community Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOregonEnrollment IDO20090611000055Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

19

Medicare enrollment records show 19 clinicians reassign Medicare billing to La Pine Community Health Center, which bills Medicare for the services they deliver. Of these, 9 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 9

Family Practice5
Nurse Practitioner4
Clinical Social Worker3
Mental Health Counselor2
Certified Clinical Nurse Specialist (CNS)1
Clinical Psychologist1
Endocrinology1
Internal Medicine1
1 other specialty1

Clinicians, nearest first (19)

Nurse Practitioner
NPI 1568395655
51600 HUNTINGTON RD # 101
La Pine, OR 97739
(541) 536-3435
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1194180562
51600 HUNTINGTON RD
La Pine, OR 97739
(541) 536-3435
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1811131550
51600 HUNTINGTON RD STE 101
La Pine, OR 97739
(541) 536-3435
✔ PECOSSame address
Certified Clinical Nurse Specialist (CNS)
NPI 1225020258
51600 HUNTINGTON RD
La Pine, OR 97739
(541) 536-3435
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1346441680
51600 HUNTINGTON RD
La Pine, OR 97739
(541) 536-3435
✔ PECOS✔ Accepts MedicareSame address
Endocrinology
NPI 1902881006
51600 HUNTINGTON RD STE 101
La Pine, OR 97739
(541) 536-3435
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1154344869
51600 HUNTINGTON RD
La Pine, OR 97739
(541) 536-3435
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1770075475
51600 HUNTINGTON RD
La Pine, OR 97739
(541) 536-3435
✔ PECOSSame address
Family Practice
NPI 1528320140
51600 HUNTINGTON RD
La Pine, OR 97739
(541) 536-3435
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1740943158
56835 VENTURE LN STE 206D
Sunriver, OR 97707
(954) 546-4673
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1952636714
2863 NW CROSSING DR STE 140
Bend, OR 97703
(541) 876-5803
✔ PECOS27 mi
Nurse Practitioner
NPI 1285385922
711 NE IRVING AVE
Bend, OR 97701
(541) 330-9110
✔ PECOS✔ Accepts Medicare28 mi
Internal Medicine
NPI 1083679393
711 NE IRVING AVE
Bend, OR 97701
(541) 330-9110
✔ PECOS✔ Accepts Medicare28 mi
Family Practice
NPI 1558699512
2065 NE TUCSON WAY APT 110
Bend, OR 97701
(541) 383-3005
✔ PECOS✔ Accepts Medicare30 mi
Occupational Therapist in Private Practice
NPI 1922625904
63311 JAMISON ST
Bend, OR 97703
(541) 322-7500
31 mi
Clinical Social Worker
NPI 1760768030
14125 SW RIDGE PL
Terrebonne, OR 97760
(541) 604-8431
✔ PECOS53 mi
Clinical Social Worker
NPI 1740774694
76 NE 12TH ST
Madras, OR 97741
(541) 475-3874
✔ PECOS✔ Accepts Medicare69 mi
Family Practice
NPI 1952923336
1270 KOT-NUM ROAD
Warm Springs, OR 97761
(541) 553-1196
✔ PECOS✔ Accepts Medicare75 mi
Clinical Social Worker
NPI 1184146417
380 9TH ST
Florence, OR 97439
(541) 997-7134
✔ PECOS✔ Accepts Medicare132 mi

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 La Pine Community Health Center's NPI number?

The NPI number for La Pine Community Health Center is 1639316193. It was assigned to this organization in the NPPES registry on January 20, 2009.

Where is La Pine Community Health Center located?

La Pine Community Health Center is located at 51600 Huntington Rd # 101, La Pine, OR 97739. The listed phone number is (541) 536-3435.

What is La Pine Community Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is La Pine Community Health Center enrolled in Medicare?

Yes. La Pine Community Health Center is registered in the Medicare PECOS enrollment system.

When is La Pine Community Health Center's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oregon, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through La Pine Community Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 9 Medicare specialties reassign their Medicare billing to La Pine Community Health Center. 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 (5), Nurse Practitioner (4) and Clinical Social Worker (3). Of these, 9 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does La Pine Community Health Center accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list La Pine Community Health Center 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 La Pine Community Health Center was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.