KEIZER DIABETES & METABOLISM CLINIC
NPI 1689503864
Clinical Nurse Specialist - Adult Health in Keizer, OR
About Keizer Diabetes & Metabolism Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEIZER DIABETES & METABOLISM CLINIC (NPI 1689503864) is a healthcare organization registered as an adult health in Keizer, Oregon and active in the NPI registry since May 2026. The organization holds a CLIA Waiver certificate valid through July 12, 2028 and lists Sandra Dee Bunn, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Keizer Diabetes & Metabolism Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Keizer Diabetes & Metabolism Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 38D2347122
Keizer Diabetes & Metabolism Clinic · Keizer, ORFrequently 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 Keizer Diabetes & Metabolism Clinic's NPI number?
The NPI number for Keizer Diabetes & Metabolism Clinic is 1689503864. It was assigned to this organization in the NPPES registry on May 14, 2026.
Where is Keizer Diabetes & Metabolism Clinic located?
Keizer Diabetes & Metabolism Clinic is located at 4829 River Rd N, Keizer, OR 97303. The listed phone number is (801) 648-3824.
What is Keizer Diabetes & Metabolism Clinic's specialty?
The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.
Is Keizer Diabetes & Metabolism Clinic enrolled in Medicare?
Yes. Keizer Diabetes & Metabolism Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Keizer Diabetes & Metabolism Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Certified Clinical Nurse Specialist (CNS)) reassigns their Medicare billing to Keizer Diabetes & Metabolism Clinic. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Keizer Diabetes & Metabolism Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 38D2347122) is associated with this NPI, valid through July 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Keizer Diabetes & Metabolism Clinic was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Keizer Diabetes & Metabolism Clinic · NPI 1689503864
Adult Health organization in Keizer, Oregon. Organization record, active in the CMS NPPES registry since May 14, 2026.
## Identity
- **NPI:** 1689503864 (Entity type: Organization)
- **Enumerated:** May 14, 2026
- **Primary specialty:** Clinical Nurse Specialist - Adult Health · taxonomy 364SA2200X
- **Organization subpart:** No
- **Authorized official:** Sandra Bunn, OWNER
## Practice location
- **Address:** 4829 RIVER RD N, Keizer, OR 97303-4537
- **Phone:** (801) 648-3824
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Certified Clinical Nurse Specialist (CNS)) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 29, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1689503864) · Data from the CMS NPPES public registry.