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SUE ANN SMITH MD
NPI 1659389112
Pediatrics - Neonatal-Perinatal Medicine in Bend, OR

Active since August 03, 2006PECOS Enrolled
2500 NE NEFF RD, BEND, OR 97701(541) 382-4321(541) 706-3765 Get Directions Write a Review

NPPES record last updated: April 16, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sue Ann Smith Md NPPES

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

SUE ANN SMITH MD (NPI 1659389112) is an individual neonatal-perinatal medicine provider in Bend, Oregon, licensed in Oregon (MD16189) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659389112
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameSUE ANN SMITHCredential: MD
Location Address2500 NE NEFF RDBend, OR 97701-6015
Mailing AddressPo Box 6095Bend, OR 97708-6095 · (541) 382-4321 · Fax (541) 706-3765
Phone(541) 382-4321
Fax(541) 706-3765
Sole ProprietorNo
Enumeration DateAugust 3, 2006
Last NPPES UpdateApril 16, 2020
NPPES CertifiedApril 16, 2020
✔ NPI 1659389112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in OR · MD16189
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
2500 NE NEFF RD, Bend, OR 97701
Open in Google Maps ↗

Other Identifiers 1

Medicaid062765OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sue Ann Smith Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sue Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St. Charles Health System, Inc.
Same address
Rehabilitation Unit
2500 NE NEFF RD
Bend, OR 97701
  • Reassigned Medicare billing, Oregon enrollment
  • 307 clinicians in this Medicare group
NPI 1154343150 (541) 382-4321

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALANNA MOZENA MD
Internal Medicine
2500 NE NEFF RD
BEND, OR 97701
Deschutes County (541) 706-6892
JAQUELINE L CAMPAGNA PT
Physical Therapist
2500 NE NEFF RD
BEND, OR 97701
Deschutes County (541) 382-4321
ASHLEY MARIE TWYMAN MD
Hospitalist
2500 NE NEFF RD
BEND, OR 97701
Deschutes County (541) 706-6892
NICOLE KOSMIDER
Anesthesiology
2500 NE NEFF RD
BEND, OR 97701
Deschutes County (888) 333-1095
SAMANTHA MULLIS NNP
Nurse Practitioner (Neonatal, Critical Care)
2500 NE NEFF RD
BEND, OR 97701
Deschutes County (541) 382-4321
JEAN M BROWN PA-C
Physician Assistant
2500 NE NEFF RD
BEND, OR 97701
Deschutes County (541) 388-1636
BENJAMIN BRUNO BARSOTTI MD
Pediatrics
2500 NE NEFF RD
BEND, OR 97701
Deschutes County (541) 706-6892
DR. NICHOLAS SONG BOEHLING M.D.
Radiology (Radiation Oncology)
2500 NE NEFF RD
BEND, OR 97701
Deschutes County (541) 706-5800

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 Sue Smith's NPI number?

The NPI number for Sue Smith is 1659389112. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Sue Smith located?

Sue Smith practices at 2500 NE Neff Rd, Bend, OR 97701. The listed phone number is (541) 382-4321.

What is Sue Smith's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Sue Smith enrolled in Medicare?

Yes. Sue Smith is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sue Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sue Smith reassigns Medicare benefits to St. Charles Health System, Inc. (Bend, OR). The 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 Sue Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sue Smith accept?

Health plans from Moda Health Plan, Inc. list Sue Smith 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 Sue Smith was last updated on April 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.